Survey Summary
Customer Information
Shipper Name:
Tary H. Acebey
Phone: 14153686898
Survey Date:
12-Jan-2022
Origin Address:
San Francisco, California
United States
94124
Floor number #1;
Destination Address:
Walnut Creek, California
United States
94598
Note(s):
* ground floor
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Mirror
1
5.5
36
Nursery
Coffee Machine
1
5
15
Nursery
Toaster
1
2
13
Nursery
Microwave
1
5
32.5
Nursery
Chair, office
1
16
104
Nursery
Desk
1
35
227.5
Nursery
Refrigerator
1
65
422.5
Nursery
Lamp, Floor or Pole
1
4
26
Nursery
Books, Medium box
20
100
460
Nursery
Child's Table
1
6
39
Nursery
End Cabinet
1
30
60
Nursery
Plastic Box
6
18
117
Nursery
End Table
3
60
90
Nursery
Dresser
3
69
448.5
Nursery
Mattress
2
50
325
Nursery
Couch
1
27
175.5
Nursery
TV Stand
1
17
110.5
Nursery
TV
2
18
117
Nursery
Bed, King Size
2
150
975
Nursery
Total
682.5
3789
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
20
Flat Box
0
Stand Up Box
0