Survey Summary
Customer Information
Shipper Name:
kasım tezel
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Chair, Dining
2
28
182
---------
Cartons, Large
5
25
162.5
---------
Refrigerator
1
65
422.5
---------
Washing Machine
1
35
227.5
---------
Wardrobe, Large
1
63
409.5
---------
Wardrobe, Small
1
35
227.5
---------
Bed, Double Size
1
70
455
---------
Chest of Drawers
1
35
227.5
---------
Night Table
2
12
78
---------
Cartons, Large
10
50
325
---------
Sofa/ Couch, 3 Cushion
2
120
780
---------
Chair, Arm
1
21
136.5
---------
Table, Dining
1
42
273
---------
Dining Chair
4
60
390
---------
TV
1
9
58.5
---------
Table Utility
1
2
13
---------
Coffee Table
4
80
520
---------
Dishwasher
1
24
156
---------
Microwave Oven
1
4
26
---------
Kitchenware
10
15
100
---------
Total
795
5167.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
10
Book/Small Box
0
Book/Small Box
15
Medium Box
0
Medium Box
0
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0