Survey Summary

Customer Information

Shipper Name:	Jose Luis Rivera
Survey Date:	07-Mar-2022
Origin Address:	United States
Destination Address:

Items Inventory

Description	Qnt.	Volume (CFT)	Weight (LBs)	Comment	Room
Sea
Washing Machine	1	35	227.5		---------
Chest	1	24	156		---------
Mirror	1	5.5	36		---------
Dresser	1	23	149.5		---------
Night Table	2	12	78		---------
Bed, Double Size	1	70	455		---------
Total		169.5	1102

Owner Signature

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Cartons

Box Name	Quantity
Book/Small Box	0
Medium Box	0
Large Box	0
Flat Box	0
Stand Up Box	0