Itemized Customer Survey/Inventory



Customer

SOMEI MIYAGUCHI (AIR)
25 Belmont Hills Drive, APT 4G
Warwick
WK06
Phone: 599-6600
smiyaguchi@sompo-intl.com

Total Estimated Weight:244.5 Total Estimated Cubic Feet:37.5 Total # of Items: 10

Items Inventory


Hallway
# Item Description CFT CP # PBO# Comment
1Shoes310Entrance closet

Total Cubic Feet: 3                   Total Weight:19.5


Bedroom #1
# Item Description CFT CP # PBO# Comment
4Linen2040Misc personal items
Clothes
Laundry bask
Mattress folding
Bedroom items
1Dyon air filter 510With other misc bedroom items

Total Cubic Feet: 25                   Total Weight:162.5


Living Room
# Item Description CFT CP # PBO# Comment
3Misc living room 4.530Office items
Books
Desks items

Total Cubic Feet: 4.5                   Total Weight:30


Kitchen
# Item Description CFT CP # PBO# Comment
1Misc kitchen 510Very minimal kitchen China / glassware

Total Cubic Feet: 5                   Total Weight:32.5


Carrier Packing & Crating Summary


Carrier Pack

# Item Description Room

Packing

Item Description Cartons # Pack-CP # PBO #

Note(s):
**Potential pack already schedule next week

Park across street or have packers dropped to site as no parking

Long walk

Signing below acknoledges receipt an estimate of your move based on the Table of Measurments. Only the items listed are included in the cost. Any items added or additional services may result in additional cost.


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Customer Signature
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Date