Survey Summary
Customer Information
Shipper Name:
karaman
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Dishwasher
1
24
156
---------
Refrigerator
1
65
422.5
---------
Breakfast Table
1
12
78
---------
Breakfast Suite Chairs
1
6
39
---------
Sofa/ Couch, 3 Cushion
1
60
390
---------
Sofa/ Couch, 2 Cushion
1
42
273
---------
TV Stand
1
17
110.5
---------
TV
1
9
58.5
---------
Washing Machine
1
35
227.5
---------
Vacuum Cleaner
2
12
78
---------
Ironing Board
1
3
19.5
---------
Iron
1
2
13
---------
Clothes Hamper
1
9
58.5
---------
Desk, Secretary
1
42
273
---------
Chair, office
1
16
104
---------
Bed, Double Size
1
70
455
---------
Mattress
1
25
162.5
---------
Night Table
2
12
78
---------
Chest of Drawers
1
35
227.5
---------
Mirror
1
5.5
36
---------
Crib, Baby
1
12
78
---------
Dresser
1
23
149.5
---------
Mirror
1
5.5
36
---------
Mirror
1
5.5
36
---------
Rugs, Large Roll or Pad
6
72
468
---------
Rugs, Small Roll or Pad
2
8
52
---------
Curtains
10
30
195
---------
Cartons, Large
15
75
487.5
---------
Total
732.5
4761.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
0
Book/Small Box
0
Book/Small Box
15
Medium Box
0
Medium Box
0
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0