Survey Summary
Customer Information
Shipper Name:
ırem birlik
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Bookcase
1
24
156
---------
TV Stand
1
17
110.5
---------
TV
1
9
58.5
---------
Vacuum Cleaner
1
6
39
---------
Coffee Table
2
40
260
---------
Bookcase
1
24
156
---------
Lamp, Floor or Pole
1
4
26
---------
Chair, Dining
4
56
364
---------
Table, Dining
1
42
273
---------
Mirror
1
5.5
36
---------
Stool
2
8
52
---------
Electronic Piano
1
16
104
---------
Chair, office
1
16
104
---------
Sofa/ Couch, Sectional, Per Section
1
36
234
---------
Desk, Secretary
1
42
273
---------
Bed, Double Size
1
70
455
---------
Chest of Drawers
1
35
227.5
---------
Night Table
2
12
78
---------
Wardrobe, Large
1
63
409.5
---------
Washing Machine
1
35
227.5
---------
Shoe Cabinet
1
12
78
---------
Kitchenware
10
15
100
---------
Cartons, Flat Wardrobe
10
90
570
---------
Dishwasher
1
24
156
---------
Total
699.5
4547
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
10
Book/Small Box
0
Book/Small Box
0
Medium Box
10
Medium Box
0
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0