Survey Summary
Customer Information
Shipper Name:
Example
Phone: 81305530
Survey Date:
27-Jan-2020
Origin Address:
av poi x 516, col. Pio X.
Monterrey, NL
Mexico
64710
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Land
Dresser
1
23
149.5
Bedroom #1
Bed, King Size
1
75
487.5
Bedroom #1
Night Table
2
12
78
Bedroom #1
TV
1
12
78
Bedroom #1
TV
1
9
58.5
Bedroom #2
Bed single
1
42
273
Bedroom #2
Night Table
2
12
78
Bedroom #2
Dresser
1
23
149.5
Bedroom #2
Cedar Chest
1
18
117
Bedroom #2
Cartons, Small
4
6
40
Bedroom #2
Cartons, Large
10
55
365
Bedroom #2
Cartons, Stand-Up Wardrobe
4
40
260
Bedroom #2
Table, Dining
1
30
195
Dining Room
Chair, Dining
10
80
520
Dining Room
Buffet
1
30
195
Dining Room
Sofa/ Couch, 2 Cushion
1
42
273
Living Room
Sofa/ Couch, 3 Cushion
1
60
390
Living Room
Sofa/ Couch, Sectional, Per Section
1
25
162.5
Living Room
Coffee Table
1
10
65
Living Room
Cartons, Large
12
66
438
Kitchen
Total
672
4369.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
4
Medium Box
0
Large Box
22
Flat Box
0
Stand Up Box
4