Itemized Customer Survey/Inventory



Customer

CYNTHIA JOHNSTON
Rockaway Senior Apts, Unit 2C, Rockaway
Southampton

Phone: 747-6130

Total Estimated Weight:XXToTalWeightYY Total Estimated Cubic Feet:XXToTalVolumeYY Total # of Items: XXToTalCountYY

Items Inventory

XXBermudaItemsYY

Carrier Packing & Crating Summary


Carrier Pack

XXBermudaBoxesYY
# Item Description Room

Packing

XXBermudaTotalBoxesYY
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