Survey Summary
Customer Information
Shipper Name:
civan
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Stool
1
4
26
---------
Linen
1
3.5
23
---------
Cartons, Large
5
25
162.5
---------
Cartons, Flat Wardrobe
10
90
570
---------
Chest of Drawers
1
35
227.5
---------
Stool
1
4
26
---------
Cartons, Medium
2
7
46
---------
Wardrobe, Large
1
63
409.5
---------
Night Table
2
12
78
---------
Lamp, Floor or Pole
1
4
26
---------
Bed, Double Size
1
70
455
---------
Mattress
1
25
162.5
---------
Chest of Drawers
1
35
227.5
---------
Mirror
1
5.5
36
---------
Bookcase
1
24
156
---------
Books, Medium box
10
35
230
---------
Bookcase
1
24
156
---------
Cartons, Large
5
25
162.5
---------
Cartons, Flat Wardrobe
1
9
57
---------
Clothes, Hanging
2
32
207
---------
Wardrobe, Large
1
63
409.5
---------
Cartons, Flat Wardrobe
1
9
57
---------
Bookcase
1
24
156
---------
Cartons, Large
3
15
97.5
---------
Desk, Secretary
1
42
273
---------
Cartons, Large
2
10
65
---------
Chair, office
2
32
208
---------
Cartons, Medium
5
17.5
115
---------
Coffee Table
1
20
130
---------
Bookcase
1
24
156
---------
Cartons, Large
4
20
130
---------
Laundry Basket
1
5
32.5
---------
Cartons, Large
3
15
97.5
---------
Cabinet, Corner
1
24
156
---------
Washing Machine
1
35
227.5
---------
Bed single
1
42
273
---------
Ironing Board
1
3
19.5
---------
Iron
1
2
13
---------
Cartons, Flat Wardrobe
7
63
399
---------
Chair, High
1
6
39
---------
Chest of Drawers
1
35
227.5
---------
Lamp, Floor or Pole
1
4
26
---------
Kitchenware
10
15
100
---------
Breakfast Table
1
12
78
---------
Breakfast Suite Chairs
4
24
156
---------
Bookcase
1
24
156
---------
Cartons, Medium
5
17.5
115
---------
Refrigerator
1
65
422.5
---------
Cartons, Large
3
15
97.5
---------
Shoe Cabinet
1
12
78
---------
Cartons, Large
6
30
195
---------
Breakfast Table
1
12
78
---------
Breakfast Suite Chairs
2
12
78
---------
Bookcase
1
24
156
---------
Bookcase
3
72
468
---------
Cartons, Small (Book)
10
15
100
---------
Desk, Secretary
1
42
273
---------
Chair, office
1
16
104
---------
Table, Dining
1
42
273
---------
Dining Chair
6
90
585
---------
Bookcase
1
24
156
---------
Cabinet, China
1
60
390
---------
Lamp, Floor or Pole
1
4
26
---------
Chair, Arm
1
21
136.5
---------
Buffet Cabinet
1
36
234
---------
Fernery or Plant Stands
1
12
78
---------
Painting
2
4
26
---------
Cartons, Large
2
10
65
---------
Glass Table
1
45
292.5
---------
Sofa/ Couch, Sectional, Per Section
1
36
234
---------
Stool
1
4
26
---------
Rocking Chair
1
23
149.5
---------
TV
1
9
58.5
---------
TV Stand
1
17
110.5
---------
Rugs, Large Roll or Pad
2
24
156
---------
Total
1907
12395.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
20
Book/Small Box
23
Book/Small Box
33
Medium Box
19
Medium Box
2
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0