Survey Summary
Customer Information
Shipper Name:
adrian sieber
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Bookcase
4
96
624
---------
Cartons, Small (Book)
11
16.5
110
---------
Chest of Drawers
2
70
455
---------
Rugs, Large Roll or Pad
2
24
156
---------
Table Utility
2
4
26
---------
Rugs, Large Roll or Pad
2
24
156
---------
Guitar
7
49
318.5
---------
Chair, Dining
1
14
91
---------
Desk, Secretary
1
42
273
---------
Chair, office
1
16
104
---------
Chair, Arm
3
63
409.5
---------
Table, Dining
1
42
273
---------
Dining Chair
8
120
780
---------
Painting
1
2
13
---------
Cartons, Large
10
50
325
---------
Kitchenware
10
15
100
---------
Table, Dining
1
42
273
---------
Chair, Dining
4
56
364
---------
Sofa/ Couch, 3 Cushion
2
120
780
---------
Chest of Drawers
1
35
227.5
---------
Mirror
1
5.5
36
---------
Dresser, Double
1
60
390
---------
Bench
1
12
78
---------
Cartons, Large
10
50
325
---------
Bookcase
2
48
312
---------
Bookcase
1
24
156
---------
Stool
1
4
26
---------
Bookcase
2
48
312
---------
Cartons, Flat Wardrobe
20
180
1140
---------
Books, Medium box
10
35
230
---------
Desk, Secretary
1
42
273
---------
Desk, Secretary
1
42
273
---------
Cartons, Large
10
50
325
---------
Chest of Drawers
2
70
455
---------
Bookcase
1
24
156
---------
Cartons, Medium
5
17.5
115
---------
Night Table
3
18
117
---------
Bed, Double Size
1
70
455
---------
Bench
1
12
78
---------
Cartons, Flat Wardrobe
22
198
1254
---------
Cartons, Stand-Up Wardrobe
10
160
1035
---------
Mattress
2
50
325
---------
Total
2111
13722
Owner Signature
____________________
Cartons
Box Name
Quantity
Wrapping
21
Book/Small Box
15
Book/Small Box
30
Medium Box
42
Medium Box
10
Large Box
0
Large Box
0
Flat Box
0
Flat Box
0
Stand Up Box
0
Stand Up Box
0