Survey Summary
Customer Information
Shipper Name:
Victor Dominici
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (KG)
Comment
Room
Sea
Mesa
1
0.5
52
Living Room
Banquetas
2
0.3
31
Living Room
Laundry Basket
1
0.14
15
Living Room
Boxes
1
0.2
21
Living Room
Bicycle
1
0.48
50
Living Room
Boxes
2
0.4
42
Living Room
Boxes
10
2
210
Kitchen
Sofa/ Couch, 3 Cushion
1
1.7
177.5
Laundry Room
Guitar
1
0.2
20.5
Living Room
TV
1
0.25
26.5
Living Room
Bed, Double Size
1
1.98
207
Master Bedroom
Boxes
5
1
105
Master Bedroom
TV
1
0.25
26.5
Master Bedroom
Boxes
2
0.4
42
Master Bedroom
Guitar
1
0.2
20.5
Bedroom #1
Sofa/ Couch, 3 Cushion
1
1.7
177.5
Bedroom #1
TV
1
0.25
26.5
Bedroom #1
TV Stand
1
0.48
50
Bedroom #1
Bed, Double Size
1
1.98
207
Bedroom #1
Mesinha
1
0.5
52
Bedroom #1
Banquetas
2
0.3
31
Bedroom #1
Geladeira
1
2
208.5
Bedroom #1
Microwave
1
0.14
15
Bedroom #1
Boxes
6
1.2
126
Bedroom #1
Bed, Youth
1
1.02
106.5
Bedroom #1
Total
19.59
2043.5
Note(s):
**25 e 26 / Fev emb e retira
26 carro
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
0
Stand Up Box
0