Survey Summary
Customer Information
Shipper Name:
mr mohamed
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Suitcase
15
90
585
---------
Speaker
2
18
114
---------
Sound system
1
10
65
---------
Computer Monitor
1
6
39
---------
Painting
6
12
78
---------
Table Utility
1
2
13
---------
Rugs, Large Roll or Pad
2
24
156
---------
Kitchenware
2
3
20
---------
Mattress
1
25
162.5
---------
Cartons, Large
5
25
162.5
---------
Total
214.5
1395
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
2
Book/Small Box
0
Book/Small Box
5
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