PACKING INVENTORY -- File 52999

Shipper Name:	Kotlarski Matthew	Container #: :
Packing Job Date:	30 Jan 2023	Seal #:
Origin Address:		Type:	By Air
Destination Address:		Total Volume:

No.	Description	Comment	Box Type	Room
1	Blankets		Medium Box	---------
	Linen			---------
	Dog Stuff			---------
	Pillows			---------
	Kitchen Appliances			---------

Total Number of Packages: 1

COLLECTION: THE UNDERSIGNED CONTRACTOR OR AUTHORIZED AGENT HAS PREPARED THE ABOVE LIST OF NUMBERED ITEMS AND INDICATED THE CONDITION IN WHICH THEY WERE RECEIVED. YOUR SIGNATURE CONFIRMS YOUR AGREEMENT WITH THE LIST, ANY ALTERATIONS MUST BE NOTED ON THIS FORM IMMEDIATELY.

At origin

Contractor or Authorized agent

Driver Porter

Crew Foreman
30 Jan 2023
Date:

Shipper
30 Jan 2023
Date:

Into Store

Checked in by

Date:

DELIVERY: ALL GOODS LISTED HAVE BEEN DELIVERED BY THE UNDERSIGNED CONTRACTOR OR THEIR AGENT AND YOU HAVE SIGNED IN AGREEMENT. ANY DISCREPANCIES MUST BE NOTED BY YOU ON THIS FORM IMMEDIATELY.
At Destination	Contractor or Authorized agent Driver Porter
	Crew Foreman:	Date:
	Shipper:	Date:
Out of Store	Checked out by	Date:

COLLECTION: THE UNDERSIGNED CONTRACTOR OR AUTHORIZED AGENT HAS PREPARED THE ABOVE LIST OF NUMBERED ITEMS AND INDICATED THE CONDITION IN WHICH THEY WERE RECEIVED. YOUR SIGNATURE CONFIRMS YOUR AGREEMENT WITH THE LIST, ANY ALTERATIONS MUST BE NOTED ON THIS FORM IMMEDIATELY.
At origin	Contractor or Authorized agent Driver Porter
	Crew Foreman	30 Jan 2023 Date:
	Shipper	30 Jan 2023 Date:
Into Store	Checked in by	Date: