Survey Summary
Customer Information
Shipper Name:
Joe Cooper
Phone: 5404396007 / 5404396007 / 5404396007
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Land
Amplifier
1
3
19.5
---------
BBQ Grill
1
20
130
---------
Armoire
1
16
104
---------
Audio System
1
9
58.5
---------
Baby Table
1
9
58.5
---------
Bags
1
3.5
23
---------
Bar, Portable
1
18
117
---------
Barbecue/Grill
1
12
78
---------
Bed single
1
42
273
---------
Bed, King Size
1
75
487.5
---------
Sofa/ Couch, 3 Cushion
1
60
390
---------
Desk
1
35
227.5
---------
Chair, Dining
6
84
546
---------
Dresser or Vanity Bench
1
24
156
---------
Dresser, Double
1
60
390
---------
Total
470.5
3058.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
1
Large Box
0
Flat Box
0
Stand Up Box
0