Survey Summary

Shipper Name: MILSTEIN DAVID ITGBL Covan  
Email: MilsteinDD@state.gov  
Survey Date:    
Origin Address: Harav Hagon 10/64
JERUSALEM
Israel
Floor number #13; Elevator;
Destination Address:

Packing Date:    


Description Qnt. Volume (CBM) Weight (KG) Comment Room
Sea     
Clothes101105 ---------
Cartons, Stand-Up Wardrobe20.5861 ---------
Bed, Double Size11.98207 ---------
Mattress10.7174 ---------
Books60.2424 ---------
Ornaments50.552.5 ---------
Yoga Mat10.1415 ---------
Lamp, Floor or Pole10.1112 ---------
Trash Can10.2526.5 ---------
Kitchenware60.624 ---------
Microwave Oven10.1112 ---------
Glassware40.442 ---------
Total 6.62654.5  
Air     
Ornaments20.221 ---------
Clothes10.110.5 ---------
Total 0.331.5  

Owner Signature
____________________
Owner Signature


          Cartons



Box NameQuantity
Book/Small Box6
Medium Box28
Large Box0
Flat Box0
Stand Up Box2