Survey Summary |
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| Shipper Name: | GLOVER EVAN LOCAL MOVE DPM | |
| Email: | Email:GLOVEREJ@STATE.GOV | |
| Survey Date: | ||
| Origin Address: | AVSHALOM KHAVIV 5/39 APT. 39 KFAR SHMARYAOU |
Floor number #10; Elevator; |
| Destination Address: |
Hazorea 33 Cfar Smareyahu |
Floor number #0; |
| Packing Date: | ||
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| Description | Qnt. | Volume (CBM) | Weight (KG) | Comment | Room |
| Sea | |||||
| Glassware | 3 | 0.3 | 31.5 | --------- | |
| Toys | 3 | 0.54 | 55.5 | --------- | |
| Printer | 1 | 0.08 | 9 | --------- | |
| Carriage, Baby | 1 | 0.68 | 71 | --------- | |
| Ornaments | 4 | 0.4 | 42 | --------- | |
| Kitchenware | 3 | 0.12 | 12 | --------- | |
| Suitcase | 11 | 1.87 | 192.5 | --------- | |
| Total | 3.99 | 416 |
| Owner Signature |
| ____________________ |
| Owner Signature |
| Box Name | Quantity | ||||
| Book/Small Box | 3 | ||||
| Medium Box | 7 | ||||
| Large Box | 3 | ||||
| Flat Box | 0 | ||||
| Stand Up Box | 0 | ||||