PACKING INVENTORY -- File 54475

Shipper Name:	PLETKA RUTH IRENA	Container #: :
Packing Job Date:	20 Sep 2023	Seal #:
Origin Address:		Type:	By Sea
Destination Address:		Total Volume:

No.	Description			Comment			Box Type	Room
1	Kitchen						Wrapped	---------
2	Kitchen						Wrapped	---------
3	glass top table						Wrapped	---------
4	pictures						Wrapped	---------
5	Table						Wrapped	---------
6	carpet						Wrapped	---------
	chair							---------
7	chair pillows						Wrapped	---------
8	legs table						Wrapped	---------
9	pictures						Wrapped	---------
10	pictures						Wrapped	---------
11	Books						Book/Small Box	---------
12	blanket						Wrapped	---------
	blanket tawels							---------
13	Books						Book/Small Box	---------
14	chair						Wrapped	---------
15	Books						Book/Small Box	---------
16	Books						Book/Small Box	---------
17	vidio caset						Wrapped	---------
18	carpet						Wrapped	---------
	chair							---------
19	Books						Book/Small Box	---------
20	carpet						Wrapped	---------
	chair							---------
21	pillows						Wrapped	---------
	carpet							---------
22	pictures						Wrapped	---------
23	pictures						Wrapped	---------

Total Number of Packages: 23

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
20 Sep 2023
Date:

Shipper
20 Sep 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: