Survey Summary
Customer Information
Shipper Name:
israil
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Scooter
1
10
65
---------
Bicycle
1
17
110.5
---------
Rugs, Large Roll or Pad
1
12
78
---------
Toaster
1
2
13
---------
Coffee Maker
1
3
19.5
---------
Cartons, Large
10
50
325
---------
Vacuum Cleaner
1
6
39
---------
Microwave
1
5
32.5
---------
Desk, Secretary
1
42
273
---------
Chair, office
1
16
104
---------
Chairs, Folding
4
12
78
---------
Computer
1
7
45.5
---------
Bed single
1
42
273
---------
Clothes, Hanging
1
16
103.5
---------
Kitchenware
3
4.5
30
---------
Fan
3
18
117
---------
Chest of Drawers
1
35
227.5
---------
TV
2
18
117
---------
TV Stand
1
17
110.5
---------
Bookcase
1
24
156
---------
Sofa/ Couch, 3 Cushion
1
60
390
---------
Coffee Table
3
60
390
---------
Refrigerator
1
65
422.5
---------
Washing Machine
1
35
227.5
---------
Dishwasher
1
24
156
---------
Total
600.5
3902.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
3
Book/Small Box
0
Book/Small Box
10
Medium Box
0
Medium Box
1
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0