Survey Summary
Customer Information
Shipper Name:
gamze
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Bed, Double Size
1
70
455
---------
Night Table
2
12
78
---------
Sofa/ Couch, Sectional, Per Section
1
36
234
---------
Mattress
2
50
325
---------
Cartons, Medium
4
14
92
---------
Cartons, Flat Wardrobe
4
36
228
---------
Cartons, Large
10
50
325
---------
TV
1
9
58.5
---------
Cartons, Large
8
40
260
---------
Breakfast Table
1
12
78
---------
Folding Chair
2
8
52
---------
Total
336
2185.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
0
Book/Small Box
4
Book/Small Box
18
Medium Box
4
Medium Box
0
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0