Survey Summary |
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| Shipper Name: | CHRISTIAN COFFMAN OTO | |
| Email: | ||
| Survey Date: | ||
| Origin Address: | BENIE BRAK |
Floor number #; |
| Destination Address: |
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Floor number #; |
| Packing Date: | ||
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| Description | Qnt. | ltrlVolume | ltrlWeight | Comment | Room |
| Owner Signature |
| ____________________ |
| Owner Signature |