Survey Summary
Customer Information
Shipper Name:
moulin
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Trunk
6
180
1170
Bedroom #3
Naleta
2
40
260
Bedroom #3
Sillon
1
15
97.5
Bedroom #3
Sillas de plastico
4
32
208
Bedroom #3
Vasos
6
30
195
Bedroom #3
Botellas alcohol
2
10
65
Bedroom #3
Computadora
1
8
52
Bedroom #3
Documentos
8
28
184
Bedroom #3
Adornos
10
35
230
Bedroom #3
Mesa
1
10
65
Bedroom #3
Pesas
3
24
156
Bedroom #3
Cuadro
6
180
1170
Bedroom #3
Libros
10
15
100
Bedroom #3
Total
607
3945.5
Land
Platos
20
100
650
Bedroom #2
Alfombra
2
16
104
Bedroom #2
Cestas
3
15
97.5
Bedroom #2
Hielera
2
20
130
Bedroom #2
Vinera
1
20
130
Bedroom #2
Caja plastica
1
5
32.5
Bedroom #2
Ropa
10
60
390
Bedroom #2
Guitarra
2
20
130
Bedroom #2
Golf clubs
1
10
65
Bedroom #2
Caña de pescar
1
5
32.5
Bedroom #2
Total
271
1761.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
0
Stand Up Box
0