Itemized Customer Survey/Inventory
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Customer
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CHARLES CERVINKA
19 Farmers Lane
Warwick
Phone: 533-8257
charles.cervinka@gmail.com
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Total Estimated Weight:5135
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Total Estimated Cubic Feet:790
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Total # of Items: 76
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Hallway
| # | Item Description | CFT | CP # | PBO# | Comment |
| 1 | Storage Unit | 20 | 1 | 0 | |
| 1 | Shoe rack | 7 | 1 | 0 | |
| 3 | Linen | 15 | 3 | 0 | |
Total Cubic Feet: 42 Total Weight:273
Bedroom #1
| # | Item Description | CFT | CP # | PBO# | Comment |
| 2 | Bed single | 84 | 2 | 0 | Mattress need to be bagged for shipping
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| 1 | Dresser | 23 | 1 | 0 | |
| 1 | Bookcase | 10 | 1 | 0 | Flat pack
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| 1 | Bureau/Dresser/Chest | 30 | 1 | 0 | |
Total Cubic Feet: 147 Total Weight:955.5
Living Room
| # | Item Description | CFT | CP # | PBO# | Comment |
| 1 | Sofa/ Couch, Sectional, Per Section | 40 | 1 | 0 | Leather extra protection needed
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| 1 | Television Screen | 5 | 1 | 0 | 40”
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| 1 | Bicycle, Kids | 10 | 1 | 0 | |
| 2 | Family room knick knacks | 10 | 2 | 0 | |
| 1 | Mini fridge | 7 | 1 | 0 | |
| 1 | Toy storage | 40 | 1 | 0 | Possible come apart .?
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| 6 | Toys | 30 | 6 | 0 | 40% of toys in toy room
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Total Cubic Feet: 142 Total Weight:923
Dining Room
| # | Item Description | CFT | CP # | PBO# | Comment |
| 1 | Table, Dining | 42 | 1 | 0 | Legs comes off possibly
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Total Cubic Feet: 42 Total Weight:273
Play Room
| # | Item Description | CFT | CP # | PBO# | Comment |
| 3 | Small table | 15 | 3 | 0 | |
Total Cubic Feet: 15 Total Weight:97.5
Basement
| # | Item Description | CFT | CP # | PBO# | Comment |
| 2 | Plastic shelving | 14 | 2 | 0 | |
| 2 | Misc. | 10 | 2 | 0 | Tools
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| 1 | Christmas Ornaments | 5 | 1 | 0 | |
| 2 | Koolers | 6 | 2 | 0 | |
Total Cubic Feet: 35 Total Weight:227.5
Kitchen
| # | Item Description | CFT | CP # | PBO# | Comment |
| 8 | Kitchen items | 24 | 8 | 0 | Appliances Tupperware
China glassware
Pots pans
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| 1 | Kitchen table | 20 | 1 | 0 | Legs comes off flat pack
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| 2 | Chair, Dining | 28 | 2 | 0 | 4 dining chairs
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Total Cubic Feet: 72 Total Weight:468
Master Bedroom
| # | Item Description | CFT | CP # | PBO# | Comment |
| 2 | End Table | 14 | 2 | 0 | |
| 1 | Tall boy | 25 | 1 | 0 | |
| 1 | Crib, Baby | 12 | 1 | 0 | Flat pack
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| 1 | Bureau/Dresser/Chest | 30 | 1 | 0 | |
| 1 | Lamp, Floor or Pole | 4 | 1 | 0 | |
| 2 | Curtains | 6 | 2 | 0 | |
| 3 | Clothes, Hanging | 45 | 3 | 0 | |
| 1 | Folding Table | 5 | 1 | 0 | |
| 1 | Cabinet, Filing | 5 | 1 | 0 | |
| 1 | Baby stroller | 5 | 1 | 0 | |
| 2 | Closet items | 10 | 2 | 0 | Baskets shoes misc
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| 2 | Table lamp | 10 | 2 | 0 | |
Total Cubic Feet: 171 Total Weight:1111.5
Bedroom #2
| # | Item Description | CFT | CP # | PBO# | Comment |
| 1 | Sofa Bed | 52 | 1 | 0 | Heavy
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| 1 | Crib, Baby | 12 | 1 | 0 | Flat pack
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| 1 | Bureau/Dresser/Chest | 30 | 1 | 0 | |
| 10 | Plastic Box | 30 | 10 | 0 | Pbo clothes
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Total Cubic Feet: 124 Total Weight:806
Carrier Packing & Crating Summary
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Carrier Pack
Packing
| Item Description |
Cartons # |
Pack-CP # |
PBO # |
| Signing below acknoledges receipt an estimate of your move based on the Table of Measurments. Only the items listed are included in the cost. Any items added or additional services may result in additional cost. |
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Customer Signature |
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Date |
