Survey Summary
Customer Information
Shipper Name:
Rita Gonzalez & Mark Matyazic
Phone: 9495663633
Email:Email:ritafromcr@gmail.com
Survey Date:
29-Jun-2023
Origin Address:
15391 Verdun Circle
Irvine
United States
92604
Destination Address:
Will Advise
Elevator;
* LongCarry;
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Tote, Medium
5
25
175
Garage
Cooler Large
2
10
70
Additional Items Added
Lamp, Floor
2
6
42
Garage
Lamp, Floor
1
3
21
Family Room
Coffee Table
1
20
140
Family Room
Picture
3
9
63
Dining Room
Table Small
1
5
35
Dining Room
Tea Cart
1
12
84
Dining Room
Clock, wall
1
3
21
Dining Room
Table Small
1
5
35
Living Room
Sofa/ Couch, 2 Cushion
1
42
294
Living Room
Linen
2
12
84
Additional Items Added
Stereo System
2
6
42
Additional Items Added
Suitcase
4
24
168
Additional Items Added
Mattress Vacuum Packed
2
70
455
King & Queen mattresses rolled & vacuum sealed from manufacturer.
Additional Items Added
Mattress Vacuum Packed
1
20
130
Additional Items Added
Lamp, Floor or Pole
1
3
21
Hallway
Picture
3
9
63
Hallway
Mirror
1
3
21
Hallway
Console Cabinet
1
20
130
Hallway
Night Table
1
6
42
Master Bedroom
Side Rails
2
10
70
Master Bedroom
Footboard
1
10
70
Master Bedroom
Headboard
1
10
70
Master Bedroom
Dresser, Double
1
60
420
Master Bedroom
Lamp, Floor or Pole
1
3
21
Guest Room
Elephant
1
77
500.5
Living Room
Rugs, Large Roll or Pad
1
12
84
May purchase a new rug
Living Room
Coffee Maker
1
3
21
Kitchen
Blender
1
3
19.5
Kitchen
Carton, Dishpack
2
14
98
Kitchen
Cartons, Flat Wardrobe
3
45
315
Cartons
Bathtub
1
60
390
Copper bathtub
72Lx32Wx30H
Bathroom
Cartons, Small
6
9
63
Living Room
Picture
8
24
0
Living Room
Artwork
4
12
84
Living Room
Cartons, Medium
5
15
105
Garage
Book Box 1.5
2
14
112
Garage
Cooler Large
1
5
35
Garage
Cooler Small
2
6
42
Garage
Sofa/ Couch, 3 Cushion
1
60
420
Living Room
Stone Top
1
5
35
Living Room
Coffee Table
1
20
140
Living Room
Table, Dining
1
42
294
Dining Room
Glass Top Standard
1
5
35
Dining Room
Dining Chair
6
30
210
Dining Room
Automobile
1
620
4340
85Hx87Wx193L
Garage
Glass Top Standard
1
5
35
Dining Room
Stone Top
1
5
35
Living Room
Total
1497
10200
Owner Signature
____________________
Crates
Item
Width
Length
Height
Elephant
27.00
48.00
48.00
Glass Top Standard
64.00
39.00
1.00
Stone Top
48.00
37.00
2.00
Cartons
Box Name
Quantity
1.5 carton
6
3.0 carton
9
4.5 carton
0
6.0 carton
2
Dish packs
0
Mirror cartons
20
TV cartons
0
StandUp Wardrobe
0
Lamp Carton
5
Mattress (single)
0
Mattress (Double)
0
Mattress (Queen)
1
Mattress (King)
0
Flat Wardrobe
3