Survey Summary


Customer Information
Shipper Name: Mr. Jacob Heavilin Phone: 309-840-3468
Email:Email:jacob.heavilin@hexagon.com
Survey Date: 04-Jan-2024  
Origin Address: 2605 W Richmond Ave
West Peoria
61604		 Floor number #0;
Note(s):
* Home is 2 story with long driveway shipper will have items on main floor
Please advise if lithium battery is can be shipped as electric mountain board has lithium battery inside

Destination Address: TBD
Perth,
Australia


Items Inventory
Description Qnt. Volume (CFT) Weight (LBs) Comment Room
Air     
Mountain Board1852Electric mountain board with lithium battery
Residence
Suitcase1642 Residence
Computer11070 Residence
Computer Monitor1321 Residence
Total 27185  

Owner Signature
____________________




          Cartons



Box NameQuantity
1.5 carton0
3.0 carton0
4.5 carton0
6.0 carton1
Dish packs1
Mirror cartons1
TV cartons0
StandUp Wardrobe0
Lamp Carton0
Mattress (single)0
Mattress (Double)0
Mattress (Queen)0
Mattress (King)0
Flat Wardrobe0