Survey Summary
Customer Information
Shipper Name:
Mrs.Bahar
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Trash Can
2
18
117
---------
Kitchenware
10
15
100
---------
Basket (Clothes)
2
12
78
---------
Cabinet, China
1
60
390
---------
Porch Table
1
12
78
---------
Porch Chair
6
72
468
---------
Cartons, Large
2
10
65
---------
Cartons, Flat Wardrobe
4
36
228
---------
Chest of Drawers
1
35
227.5
---------
Chest of Drawers
1
35
227.5
---------
Heater, Gas or Electric
1
6
39
---------
Cartons, Small (Book)
30
45
300
---------
TV Stand
1
17
110.5
---------
Sofa/ Couch, 3 Cushion
1
60
390
---------
Table Utility
1
2
13
---------
Chair, Arm
1
21
136.5
---------
Corner Lamp Shade
1
7
45.5
---------
Desk, Secretary
1
42
273
---------
Cabinet, Filing
1
12
78
---------
Painting
1
2
13
---------
Chair, office
1
16
104
---------
Lamp, Floor or Pole
2
8
52
---------
Wardrobe, Large
1
63
409.5
---------
Cartons, Flat Wardrobe
3
27
171
---------
Cartons, Large
8
40
260
---------
Wardrobe, Large
1
63
409.5
---------
Bicycle
1
17
110.5
---------
Vacuum Cleaner
1
6
39
---------
Chest of Drawers
1
35
227.5
---------
Cartons, Flat Wardrobe
2
18
114
---------
Chest of Drawers
1
35
227.5
---------
Wardrobe, Large
1
63
409.5
---------
Cartons, Flat Wardrobe
10
90
570
---------
TV
1
9
58.5
---------
Stereo System
1
9
58.5
---------
Serving Cart
1
6
39
---------
Painting
2
4
26
---------
Iron
1
2
13
---------
Cartons, Flat Wardrobe
9
81
513
---------
Vacuum Cleaner
1
6
39
---------
Cartons, Flat Wardrobe
6
54
342
---------
Bed, Double Size
1
70
455
---------
Mattress
1
25
162.5
---------
Night Table
2
12
78
---------
Bench
1
12
78
---------
Rugs, Small Roll or Pad
5
20
130
---------
Cartons, Large
1
5
32.5
---------
Total
1308
8503.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
40
Book/Small Box
0
Book/Small Box
11
Medium Box
34
Medium Box
0
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0