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:

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