Survey Summary
Customer Information
Shipper Name:
Ben Clements
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Table, Dining
1
42
273
---------
Chair, Dining
6
84
546
---------
Trash Can
2
18
117
---------
Painting
1
2
13
---------
Rugs, Large Roll or Pad
1
12
78
---------
Rugs, Large Roll or Pad
1
12
78
---------
Table Utility
1
2
13
---------
Stool
3
12
78
---------
Cartons, Large
5
25
162.5
---------
Buffet
1
44
286
---------
Buffet Cabinet
1
36
234
---------
Cartons, Large
2
10
65
---------
Desk, Small or Winthrop
1
27
175.5
---------
Computer Set
1
9
58.5
---------
Chair, Arm
1
21
136.5
---------
Table Utility
1
2
13
---------
Sofa 1 Cushion
2
56
364
---------
Stool
1
4
26
---------
Cartons, Flat Wardrobe
20
180
1140
---------
Bed, Double Size
1
70
455
---------
Mattress
1
25
162.5
---------
Desk, Secretary
1
42
273
---------
Chair, Dining
1
14
91
---------
Cartons, Large
10
50
325
---------
Cartons, Large
5
25
162.5
---------
Clothes Hamper
1
9
58.5
---------
Cartons, Flat Wardrobe
2
18
114
---------
Cartons, Large
5
25
162.5
---------
Rugs, Large Roll or Pad
1
12
78
---------
Cartons, Medium
3
10.5
69
---------
Chest of Drawers
2
70
455
---------
Bookcase
1
24
156
---------
Cartons, Large
5
25
162.5
---------
Cartons, Flat Wardrobe
3
27
171
---------
Trampoline
1
7
45.5
---------
Wardrobe, Small
1
35
227.5
---------
Cartons, Large
5
25
162.5
---------
Chest of Drawers
1
35
227.5
---------
Cartons, Flat Wardrobe
5
45
285
---------
Bed, Single or Hollywood
1
54
351
---------
Desk, Secretary
2
84
546
---------
Cartons, Small
6
9
60
---------
Fan
1
6
39
---------
Computer Set
1
9
58.5
---------
Wardrobe, Small
1
35
227.5
---------
Bookcase
1
24
156
---------
Cartons, Flat Wardrobe
8
72
456
---------
Painting
15
30
195
---------
Bicycle
5
85
552.5
---------
Total
1592
10347.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
6
Book/Small Box
3
Book/Small Box
37
Medium Box
38
Medium Box
0
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0