Survey Summary

ltrlShipperName: XXShipperNameYY  
Email: XXShipperEmailYY  
ltrlSurveyDate: XXSurveyDateYY  
ltrlOriginAddress: XXOriginAddressYY XXOriginDescriptionYY
ltrlDestinationAddress: XXDeliveryAddressYY
XXDeliveryDescriptionYY
ltrlPackingDate: XXPackingDateYY  


XXContentYY
Description Qnt. ltrlVolume ltrlWeight Comment Room
XXCommentsYY
ltrlOwnerSignature
____________________
Owner Signature
XXImagesYY XXCratesYY XXBoxesYY