Survey Summary
Customer Information
Shipper Name:
Clinton Gilliam
Email:
Survey Date:
Origin Address:
2906 E. 732350
Cottonwood Heights, Utah
United States
84121
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Land
Sconce
2
6
39
Master Bedroom
Rug, Runner
2
10
65
Master Bedroom
Night Table
2
12
84
Master Bedroom
Chair, Desk
1
5
35
Master Bedroom
Desk
1
20
140
Master Bedroom
Lamp, Table
1
10
70
Master Bedroom
Table, Console
1
10
65
Master Bedroom
Shelving Unit
1
20
130
Master Bedroom
Tote, Medium
2
10
70
Master Bedroom
China
1
10
70
Master Bedroom
Total
113
768
Owner Signature
____________________
Cartons
Box Name
Quantity
1.5 carton
0
3.0 carton
2
4.5 carton
0
6.0 carton
0
Dish packs
2
Mirror cartons
0
TV cartons
0
StandUp Wardrobe
0
Lamp Carton
0
Mattress (single)
0
Mattress (Double)
0
Mattress (Queen)
0
Mattress (King)
0
Flat Wardrobe
0