Dynamic Generated Document

PACKING INVENTORY -- File 53859

Shipper Name:	Bergeon Dars	Container #: :
Packing Job Date:	28 Jun 2023	Seal #:
Origin Address:		Type:	Storage
Destination Address:		Total Volume:

No.	Description	Comment	Box Type	Room
1	Lamp		Wrapped	---------
2	Bathroom items		Medium Box	---------
3	Rugs, Large Roll or Pad		Wrapped	---------
4	Mattress		Wrapped	---------
5	Bed Parts		Wrapped	---------
	Bed			---------
6	Rug		Wrapped	---------
	Stand			---------
7	Chest		Wrapped	---------
	Part Table			---------
8	Part Wardrobe		Wrapped	---------
9	Part Wardrobe		Wrapped	---------
10	Part Wardrobe		Wrapped	---------
11	Bed Parts		Wrapped	---------
12	Bed Parts		Wrapped	---------
13	Part Table		Wrapped	---------
14	Bed Parts		Wrapped	---------
15	Bed Parts		Wrapped	---------
16	Chair		Wrapped	---------
17	Chair		Wrapped	---------
18	Mattress		Wrapped	---------
19	Glass Table		Wrapped	---------
20	Rugs, Large Roll or Pad		Wrapped	---------
21	Lamp		Wrapped	---------
22	Bed Parts		Wrapped	---------
23	Bed Parts		Wrapped	---------
24	Mattress		Wrapped	---------
25	Mattress		Wrapped	---------
26	Part Bed		Wrapped	---------
27	Bed Parts		Wrapped	---------
28	Part Wardrobe		Wrapped	---------
29	Part Wardrobe		Wrapped	---------
30	Part Wardrobe		Wrapped	---------
31	Part Wardrobe		Wrapped	---------
32	Part Wardrobe		Wrapped	---------
33	Part Wardrobe		Wrapped	---------
34	Part Wardrobe		Wrapped	---------
35	Part Wardrobe		Wrapped	---------
36	Part Wardrobe		Wrapped	---------
37	Bed Parts		Wrapped	---------
38	Microwave		Wrapped	---------

Total Number of Packages: 38

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
28 Jun 2023
Date:

Shipper
28 Jun 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	28 Jun 2023 Date:
	Shipper	28 Jun 2023 Date:
Into Store	Checked in by	Date: