Survey Summary
Customer Information
Shipper Name:
Jennifer Palardy
Email:
Survey Date:
Origin Address:
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Carton, Dishpack
12
84
588
Apartment
Cartons, Small
70
105
735
Apartment
Cartons, Medium
30
90
630
Apartment
Cartons, Large
25
112.5
787.5
Apartment
Cartons, Large
11
66
462
Apartment
Cartons, Mirror
16
48
336
Apartment
Wardrobe Carton
6
90
630
Apartment
Cabinet
3
75
487.5
Apartment
Total
670.5
4656
Note(s):
Owner Signature
____________________
Cartons
Box Name
Quantity
1.5 carton
70
3.0 carton
30
4.5 carton
25
6.0 carton
11
Dish packs
0
Mirror cartons
16
TV cartons
0
StandUp Wardrobe
6
Lamp Carton
0
Mattress (single)
0
Mattress (Double)
0
Mattress (Queen)
0
Mattress (King)
0
Flat Wardrobe
0