Survey Summary |
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| Shipper Name: | Ricardo Flowers DPM | |
| Email: | ||
| Survey Date: | ||
| Origin Address: | Giladi Street 4, Jurasalem |
Floor number #0; |
| Destination Address: |
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| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Outdoor Swings | 1 | 1.02 | 106 | --------- | |
| Ornaments | 2 | 0.2 | 21 | --------- | |
| Clothes | 3 | 0.3 | 31.5 | --------- | |
| Total | 1.52 | 158 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 0 | ||||
| Medium Box | 5 | ||||
| Large Box | 0 | ||||
| Flat Box | 0 | ||||
| Stand Up Box | 0 | ||||