Survey Summary



Customer Information

Shipper Name: HEGELE/STOLL
Survey Date:    
Origin Address:  
Destination Address:



Items Inventory

Description Qnt. Volume (CFT) Weight (LBs) Comment Room
Sea     
Table, Dining142273 ---------
Chair, Dining684546 ---------
Sofa/ Couch, Sectional, Per Section272468 ---------
Coffe table11278 ---------
TV Cabinet132208 ---------
Washing Machine125162.5Not seen
---------
Rugs, Small Roll or Pad1426 ---------
Armoire148312 ---------
Cabinet136234 ---------
Plastic Box1030195Approx qty
---------
Bicycle351331.5 ---------
Computer table342273Saw only 1
---------
Kitchenware517.5115Not seen
---------
Total 495.53221.5  

Owner Signature
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          Cartons



Box NameQuantity
Book/Small Box0
Medium Box5
Large Box0
Flat Box0
Stand Up Box0