Survey Summary
Customer Information
Shipper Name:
Diana Soberal
Survey Date:
Origin Address:
New York
United States
Floor number #0;
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
large box
20
160
1040
---------
small box
6
12
78
---------
Picture Small
2
2
13
---------
Picture medium
2
4
26
---------
Sofa/ Couch, 3 Cushion
1
60
390
---------
Chair, Overstuffed
1
18
117
---------
tv 50
1
10
65
---------
Sound System
1
2
50
---------
Receiver
1
3
19.5
---------
small picture
1
1
6.5
---------
Mattress twin
1
5
32.5
---------
Night Table
1
6
39
---------
Bureau/Dresser/Chest
1
30
195
---------
tv 32
1
7
45.5
---------
futon
1
12
78
---------
queen bed
1
25
162.5
---------
Bureau/Dresser/Chest
1
30
195
---------
Chest
1
24
156
---------
tv 32
1
7
45.5
---------
night stand
1
10
65
---------
queen bed
1
25
162.5
---------
Chest
1
24
156
---------
Electric Keyboard
1
4
78
---------
plastic bins
9
72
468
---------
plastic bins
3
24
156
---------
Vacuum Cleaner
1
6
39
---------
small picture
1
1
6.5
---------
small picture
1
1
6.5
---------
Printer
2
6
39
---------
Total
591
3930.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
0
Stand Up Box
0