Survey Summary
Customer Information
Shipper Name:
Lopez Rivera Joshua
Survey Date:
12-May-2021
Origin Address:
United States
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Bags
1
3.5
23
---------
Bicycle
1
17
110.5
---------
Tv 55
1
5
35
---------
Cartons, Medium
2
7
46
---------
Cartons, Large
6
30
195
---------
Total
62.5
409
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
3
Large Box
6
Flat Box
0
Stand Up Box
0