Survey Summary
Customer Information
Shipper Name:
Rafael Claudino
Survey Date:
02-Jul-2021
Origin Address:
Brazil
Floor number #0;
Destination Address:
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (KG)
Comment
Room
Air
Box 2 - Medium
1
0.15
15.5
Yard
Box 1 - Fragile
1
0.14
14.5
Yard
Box 3 - Toys
2
0.22
16
Yard
Box 1 - Fragile
1
0.14
14.5
Living Room
Painting
1
0.07
7.5
1,40
Living Room
Painting
1
0.06
6
O0,80
Living Room
Box 1 - Fragile
1
0.14
39
Living Room
Box 1 - Fragile
1
0.14
14.5
Living Room
Vase
1
0.14
10
Living Room
Box 1 - Fragile
1
0.14
45
Kitchen
Box 2 - Medium
1
0.15
15.5
Kitchen
Box 2 - Medium
3
0.45
60
Kitchen
Box 2 - Medium
1
0.15
15.5
Kitchen
Tennis racket
2
0.12
4
Yard
Box 4 - Flat
5
0.8
82.5
Shoes
Bedroom #1
Tool Box
1
0.05
5
Yard
Box 5 - Books
3
0.33
34.5
Study
Box 4 - Flat
2
0.32
33
Bedroom #1
Box 4 - Flat
2
0.32
33
Hallway
Painting
2
0.02
2
Bedroom #2
Box 2 - Medium
1
0.15
15.5
Bedroom #2
Painting
1
0.01
1
Bedroom #3
Painting
1
0.01
1
Hallway
Box 4 - Flat
5
0.8
82.5
Bedroom #3
Box 1 - Fragile
1
0.14
5
Bathroom
Box 3 - Toys
3
0.33
34.5
Bedroom #2
Carriage, Baby
1
0.25
26
Garage
Total
5.73
635
Land
Stove
1
0.8
83.5
Kitchen
Table, Dining
1
1.19
124
Kitchen
Dining Chair
4
1.68
176
Kitchen
Sofa/ Couch, 4 Cushion
1
2.04
212.5
Living Room
Buffet
2
1.4
146
Living Room
Bookcase
1
0.68
71
Study
Desk, Small or Winthrop
1
0.76
79
Study
Chest of Drawers
1
0.99
103
Bedroom #1
Utility Cabinet
3
1.02
106.5
Disassembly
Living Room
Utility Cabinet
1
0.34
35.5
Living Room
Total
10.92
1136.5
Storage
Box 5 - Books
5
0.4
42.5
Study
Buffet
1
0.55
57
Living Room
Refrigerator
1
1.2
125
Special Disassembly required
Kitchen
Microwave
1
0.14
14.5
Kitchen
Bed frame
2
0.4
42
Bedroom #3
Picture
1
0.25
26
Special crate
1,50 x 0,04 x 1,00
Bedroom #3
Night Table
2
0.34
35
Bedroom #3
Washing Machine
1
0.7
73
Laundry Room
Chest
1
0.68
71
Bedroom #1
Crib, Baby
1
0.45
47
Bedroom #1
Corner Table
1
0.1
10.5
Bedroom #1
Box 5 - Books
1
0.11
11.5
Living Room
Total
5.32
554
Note(s):
**Parking Permit Required
Steep street
No PBO No MISC are ever acceptable on the inventory
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
1
Stand Up Box
0