Survey Summary
Customer Information
Shipper Name:
Ada Dapil
Survey Date:
Origin Address:
New York
United States
Floor number #0;
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Bed, Double Size
1
70
455
---------
Mattress
1
25
162.5
---------
Bed, King Size
1
75
487.5
---------
Night Table
2
12
78
---------
Dresser or Vanity Bench
1
24
156
---------
Mirror, Large
1
11
200
---------
Bureau/Dresser/Chest
1
30
195
---------
mirror
1
5
32.5
---------
TV 60
1
3
50.5
---------
TV Stand
1
17
110.5
---------
Sofa/ Couch, 3 Cushion
1
60
390
---------
Chair, Rocker
2
30
195
---------
Dining table with 5 chairs
1
18
117
---------
Stool
2
8
52
---------
Round dining table
1
18
117
---------
Chair dining
4
12
78
---------
Wine rack
3
42
273
---------
Bird Cage & Stand
1
6
39
---------
Bird Cage & Stand
1
6
39
---------
Sewing Machine
1
12
78
---------
mirror
1
5
32.5
---------
Garden Hose and Tools
1
18
117
---------
Pressure Washer
1
10
65
---------
Lamp, Floor or Pole
2
8
52
---------
Decorative plant
2
6
39
---------
Ladder, Extension
1
12
78
---------
Step Ladder
1
6
39
---------
small box
20
40
260
---------
Box Medium
15
75
487.5
---------
large box
10
80
520
---------
small box
8
16
104
---------
Total
760
5099.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
0
Stand Up Box
0