Survey Summary

Customer Information

Shipper Name:	Kasten, Monte	Phone: (954)594-9716 Email:Email:mkasten@healthcarestarz.com
Survey Date:	30-Sep-2022
Origin Address:	18756 SW 78th Court Cutler Bay United States 33157
Destination Address:	19305 SW 79th Court Cutler Bay, Florida United States 33157

Items Inventory

Description	Qnt.	Volume (CFT)	Weight (LBs)	Comment	Room
Land
Bench	1	12	78		---------
Entry table	1	35	227.5		---------
Folding Chair	2	8	52		---------
Painting	1	2	13		---------
Vase	4	8	52		---------
Bookcase	2	48	312		Living Room
Sofa/ Couch, 3 Cushion	1	60	390		Living Room
Table	1	35	227.5		Living Room
Flower Pot	1	12	78		Living Room
Chair, Arm	2	42	273		Living Room
Painting	3	6	39		Living Room
Lamp, Floor or Pole	1	4	26		Living Room
Table	1	25	162.5		Living Room
Table, Dining	1	55	357.5		Dining Room
Dining Chair	6	48	312		Dining Room
Buffet Cabinet	1	45	292.5		Dining Room
Cartons, Large	4	20	130		Dining Room
Painting	1	2	13		Dining Room
Lamp, Floor or Pole	2	4	26		Dining Room
Desk	1	35	227.5		Bedroom #1
Rugs, Small Roll or Pad	1	6	39		Bedroom #1
Bed, Youth	1	36	234		Bedroom #1
Office Chair	1	9	58.5		Bedroom #1
Bookcase	1	30	195		Bedroom #1
Speaker	1	5	32.5		Bedroom #1
Books	7	10.5	77		Bedroom #1
Dresser	1	35	227.5		Bedroom #1
Mirror	1	15	97.5		Bedroom #1
End Table	1	6	39		Bedroom #1
Plastic Box	3	45	292.5		Bedroom #1
Cartons, Large	4	20	130		Bedroom #1
Shoe rack	1	15	97.5		Hallway
Coat Rack	1	15	97.5		Hallway
Cartons, Large	4	20	130		Bedroom #2
Night Table	1	12	78		Bedroom #2
Bed, Youth	1	36	234		Bedroom #2
Desk	1	35	227.5		Bedroom #2
Office Chair	1	8	52		Bedroom #2
Dresser	1	35	227.5		Bedroom #2
Bean bag chairs	1	7	45.5		Bedroom #2
Folding Table	1	7	45.5		Bedroom #3
Office Chair	1	15	97.5		Bedroom #3
Coat Rack	1	8.5	55.5		Bedroom #3
Chest of Drawers	1	35	227.5		Bedroom #3
Bed, Double Size	1	70	455		Bedroom #3
Night Table	1	7	45.5		Bedroom #3
Cartons, Large	10	50	325		Bedroom #3
Cartons, Large	4	20	130		Hallway
Flower Pot	1	5	32.5		Hallway
Extra large box	1	8	52		Hallway
Cartons, Large	5	25	162.5		Kitchen
Cartons, Large	3	15	97.5		Laundry Room
Extra large box	3	24	156		Family Room
Books	3	4.5	33		Family Room
TV	1	9	58.5		Family Room
TV Stand	1	45	292.5		Family Room
Coffee Table	1	20	130		Family Room
Sofa part	3	90	585		Family Room
Sofa part	5	325	2112.5		Family Room
Table	1	12	78		Family Room
Chair, Kids	2	6	39		Family Room
Breakfast Table	1	12	78		Kitchen
Breakfast Suite Chairs	4	24	156		Kitchen
Extra large box	2	16	104		Bedroom #4
Sofa/ Couch, 2 Cushion	1	40	260		Bedroom #4
End Table	1	6	39		Bedroom #4
Printer	1	3	19.5		Bedroom #4
Table	1	35	227.5		Bedroom #4
Chair, Dining	2	14	91		Bedroom #4
Bookcase	2	30	195		Bedroom #4
TV	1	4	26		Bedroom #4
Racks	1	12	78		Bedroom #4
Books	3	4.5	33		Bedroom #4
Barbecue/Grill	1	17	110.5		Yard
Toys	1	5	32.5		Yard
Sofa Bed	1	52	338	Client says it fits through the door	Sport Room
Peloton	1	35	227.5		Sport Room
Bench	1	15	97.5		Sport Room
Extra large box	2	16	104		Sport Room
Ironing Board	1	3	19.5		Sport Room
Exercise equipment	2	70	455		Sport Room
Extra large box	4	32	208		Hallway
Plastic Box	2	8	52		Master Bedroom
Desk	1	35	227.5		Master Bedroom
Office Chair	1	15	97.5		Master Bedroom
Night Table	1	6	39		Master Bedroom
Lamp, Floor or Pole	1	4	26		Master Bedroom
Printer	1	3	19.5		Master Bedroom
Computer	1	7	45.5		Master Bedroom
Chair, Occasional	1	12	78		Master Bedroom
End Table	1	7	45.5		Master Bedroom
Mirror	1	5.5	36		Master Bedroom
Extra large box	2	16	104		Master Bedroom
Ottoman	1	16	104		Master Bedroom
Night Table	2	36	234		Master Bedroom
Lamp, Floor or Pole	2	8	52		Master Bedroom
Bed, King Size	1	75	487.5	Make sure to cover mattress	Master Bedroom
Chair, Arm	1	25	162.5		Master Bedroom
Dresser, Double	1	60	390		Master Bedroom
Chair, Rocker	1	15	97.5		Master Bedroom
Cartons, Large	5	25	162.5		Master Bedroom
Cartons, Stand-Up Wardrobe	4	64	416	bring boxes	Master Bedroom
Cartons, Medium	6	21	138		Master Bedroom
Garage misc items	1	25	162.5		Garage
Exercise Bike	1	20	130		Garage
Christmas Tree	1	15	97.5		Garage
Painting	4	8	52		Garage
Bicycle, Kids	2	20	130		Garage
Bicycle	2	34	221		Garage
Plastic Box	1	5	32.5		Garage
Gymnastic mat	1	15	97.5		Garage
Plastic Box	9	27	175.5		Garage
Total		2788	18122.5

Note(s):
**8am-6pm

Owner Signature

____________________

Cartons

Box Name	Quantity
Book/Small Box	13
Medium Box	6
Large Box	40
Flat Box	0
Stand Up Box	4
Dishpack	0