Survey Summary
Customer Information
Shipper Name:
RAUTALA, Raisa
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Pictures
1
2
13
Hallway
Bathroom items
1
3.5
23
Hallway
Closet items
5
17.5
115
Coats, shoes, misc
Hallway
Closet items
2
7
46
Hallway
Kitchenware
9
31.5
207
Dining Room
Easel
1
2
13
Dining Room
iRobot/Roomba
1
3.5
23
Dining Room
Deco/Misc
1
3.5
23
Dining Room
Cabinet contents
1
3.5
23
Dining Room
Cabinet
1
36
234
Dining Room
Chair, Dining
4
56
364
Dining Room
Table, Dining
1
42
273
Dining Room
TV
1
9
58.5
Living Room
Cabinet contents
3
10.5
69
Living Room
Red cabinet
1
36
234
Living Room
Coffe table
1
12
78
*GLASS TOP*
Living Room
Bookshelf contents
6
9
60
Living Room
IKEA bookshelf
1
24
156
*GLASS DOORS*
Living Room
Deco/Misc
2
7
46
Living Room
Pictures
1
2
13
Living Room
Shoes
2
7
46
Master Bedroom
Ironing Board
1
2
13
Master Bedroom
Step Ladder
1
2
13
Master Bedroom
Closet items
1
18.5
120.5
Master Bedroom
Closet items
8
28
184
Master Bedroom
Queen bed
1
70
455
Master Bedroom
Night Table
2
12
78
Master Bedroom
Contents
1
3.5
23
Master Bedroom
Echalon bike
1
60
390
Master Bedroom
Christmass tree
1
5.5
34.5
Master Bedroom
Deco/Misc
3
10.5
69
Master Bedroom
Total
537.5
3493.5
Storage
Sofa/ Couch, 3 Cushion
1
60
390
Living Room
Total
60
390
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
6
Medium Box
38
Large Box
0
Flat Box
0
Stand Up Box
1