Survey Summary

Customer Information

Shipper Name:	Didier Jean Michel Bosc
Survey Date:	04-Feb-2021
Origin Address:	Brazil	Floor number #0;
Destination Address:

Items Inventory

Description	Qnt.	Volume (CBM)	Weight (KG)	Comment	Room
Sea
Lamp, Floor or Pole	1	0.11	12		Living Room
Desk, Small or Winthrop	1	0.76	80		Living Room
Sofa/ Couch, 4 Cushion	1	2.8	292		Living Room
Rugs, Small Roll or Pad	1	0.11	12		Living Room
Bench	1	0.34	35.5		Living Room
Coffee Table	1	0.57	59		Living Room
Box 5 - Books	12	1.32	138		Living Room
Bookcase	2	1.6	167		Living Room
Sideboard	1	0.6	62.5		Living Room
Sideboard	1	0.4	41.5		Living Room
Artwork	1	0.11	12		Living Room
Painting	1	0.06	6		Living Room
Glass Table	1	1.27	133		Dining Room
Chair, Dining	8	3.2	332		Dining Room
Corner Lamp Shade	1	0.2	20.5		Dining Room
Lamp, Floor or Pole	1	0.11	12		Dining Room
Rugs, Small Roll or Pad	1	0.11	12		Dining Room
Rugs, Small Roll or Pad	1	0.11	12		Dining Room
Bench	1	0.34	35.5		Dining Room
Trunk	1	0.42	44.5		Dining Room
Vase	1	0.14	15		Yard
Laundry Basket	1	0.14	15		Yard
Laundry Basket	1	0.14	15		Yard
Corner Table	1	0.1	10.5		Yard
Box 1 - Fragile	1	0.14	14.5		Yard
Cabinet, China	1	1	104.5		Kitchen
Box 1 - Fragile	23	3.22	333.5		Kitchen
Lamp, Floor or Pole	1	0.11	12		Kitchen
Trash Can	1	0.25	26.5		Kitchen
Beach Chair	2	0.04	4		Kitchen
Box 2 - Medium	8	1.2	124		Laundry Room
Golf Bag/Clubs	2	0.34	35		Laundry Room
Ironing Board	1	0.08	9		Laundry Room
Step Ladder	1	0.17	17.5		Laundry Room
Box 2 - Medium	5	0.75	77.5		Laundry Room
Box 5 - Books	7	0.77	80.5		Hallway
Christmas Ornaments	1	0.08	9		Hallway
Utility Cabinet	1	0.1	10.5		Bathroom
Bookcase	1	0.68	71		Hallway
Box 5 - Books	5	0.55	57.5		Hallway
Chair, Arm	1	0.59	62	Optional	Study
DVD	1	0.7	73		Study
Desk, Secretary	1	0.6	62.5		Study
Computer	1	0.2	20.5		Study
Computer	1	0.2	20.5		Study
Chair, office	1	0.45	47.5		Study
Printer	1	0.08	9		Study
Desk, Secretary	1	1.19	124		Bedroom #1
Chair, office	1	0.45	47.5		Bedroom #1
Exercise equipment	2	1.2	125		Bedroom #1
Bed, Double Size	1	1.98	207	Optional	Bedroom #1
Night Table	2	0.34	35		Bedroom #1
Box 4 - Flat	11	1.76	181.5		Bedroom #1
Bed, Double Size	1	1.98	207		Bedroom #2
Electronic Piano	1	0.45	47.5		Bedroom #2
Guitar	2	0.4	41		Bedroom #2
Bench	1	0.34	35.5		Bedroom #2
Laundry Basket	1	0.14	15		Bedroom #2
Box 4 - Flat	10	1.6	165		Bedroom #2
Bench	1	0.34	35.5		Bedroom #2
Utility Cabinet	1	0.34	35.5		Bedroom #2
Corner Lamp Shade	2	0.4	41		Bedroom #2
Box 4 - Flat	22	3.52	363		Bedroom #2
Box 2 - Medium	5	0.75	77.5		Bedroom #2
Bicycle	2	0.96	100		Garage
Painting	5	0.1	10		Bedroom #3
Total		45.64	4760
Air
Motorcycle	1	5.52	576	Special crate	Garage
Total		5.52	576

Note(s):
**Nome completo (de acordo com passaporte)
DIDIER JEAN MICHEL BOSC

Data Nascimento 18/02/1959
CPF nº 23704520802
RG nº G037954-J
Endereço de origem ALAMEDA JOAQUIM EUGENIO DE LIMA
NUMERO: 813 - APTO. 44
JD. PAULISTA

Telefone/responsável condomínio A confirmar
Endereço de destino A confirmar (França)
Telefone/destino A confirmar
Data prevista para a mudança A confirmar – final
Annick BOSC
End of February
5 days

Owner Signature

____________________