Survey Summary
Customer Information
Shipper Name:
Robert & Carol Hille
Phone: 206-855-9440 / 206-601-1689 / 407-616-3911
Email:Email:carolhille@gmail.com
Survey Date:
05-Jan-2023
Origin Address:
719 Imse Rd Apt #203
St Louis
63119
Floor number #2;
Note(s):
* Origin is 2nd floor condo w elevator
Mr will let movers in once they call and advise they have arrived. His cell is 206-601-1689
Destination Address:
10868 N Madison Ave NE
Bainbridge Island
98110
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Land
Bench
1
12
78
Mini Storage
Dresser
2
60
0
Mini Storage
Bench
1
12
84
Mini Storage
Night Table
4
24
156
Mini Storage
Bench
1
12
84
Mini Storage
Total
120
402
Owner Signature
____________________
Cartons
Box Name
Quantity
1.5 carton
0
3.0 carton
0
4.5 carton
0
6.0 carton
0
Dish packs
0
Mirror cartons
0
TV cartons
0
Dish packs
0
Lamp Carton
0
Mattress (single)
0
Mattress (Double)
0
Mattress (Queen)
0
Mattress (King)
0