Survey Summary
Customer Information
Shipper Name:
Willie Smith
Phone: 2155555555 / 2155555555
Email:Email:bsimp604@gmail.com
Survey Date:
05-May-2023
Origin Address:
12345 10th street
Denver
80030
Note(s):
* Direct load access
Destination Address:
tbd
Philadelphia
19114
Note(s):
* Tbd
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Interstate
Cartons, Medium
21
63
409.5
---------
Bed, King Size
1
75
487.5
Bedroom #2
End Cabinet
1
30
195
Bathroom
Cartons, Small (Book)
17
25.5
170
Bathroom
Dresser, Double
1
60
240
Master Bedroom
Night Table
2
12
140
Master Bedroom
Mirror
1
5.5
36
Master Bedroom
Vanity Dresser
1
24
156
Master Bedroom
Bed, Bunk (Set of 2)
1
84
350
Bedroom #2
Bookcase
2
48
140
Bedroom #2
Cartons, Small
25
37.5
1000
Bedroom #2
Total
464.5
3319.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
42
Medium Box
21
Large Box
0
Flat Box
0
Stand Up Box
0