Survey Summary
Customer Information
Shipper Name:
Jenny Hock
Email:
Survey Date:
Origin Address:
1001 Pine St., Apt. 201
Philadelphia, Pennsylvania
United States
19147
Note(s):
* First stop will be to the apartment shown
Second stop will be to U haul storage 1015 S. 12th St., Philadelphia PA 19147
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Land
Table, Kitchen
1
20
140
Apartment
Bookcase
1
20
140
Apartment
Book Box 1.5
3
21
168
Apartment
Bed, Queen
1
30
210
Apartment
Headboard
1
10
70
Apartment
Bench
2
20
140
Apartment
Desk, Computer
1
15
105
Apartment
Chair, Desk
1
8
56
Apartment
Fernery or Plant Stands
1
12
84
Apartment
Wardrobe Carton
3
45
315
Apartment
Linen
1
6
42
Apartment
Pots & Pans
1
4.5
31.5
Apartment
Carton, Dishpack
3
30
210
Apartment
Bicycle
1
7
49
Mini Storage Unit 3
Book Box 1.5
8
56
448
Mini Storage Unit 3
Clothes
2
6
42
Mini Storage Unit 3
Cartons, Small
3
4.5
31.5
Apartment
Artwork
2
6
42
Apartment
Bed frame
1
5
35
Apartment
Total
37
326
2359
Owner Signature
____________________
Cartons
Box Name
Quantity
1.5 carton
14
3.0 carton
2
4.5 carton
1
6.0 carton
1
Dish packs
3
Mirror cartons
2
TV cartons
0
StandUp Wardrobe
3
Lamp Carton
0
Mattress (single)
0
Mattress (Double)
0
Mattress (Queen)
1
Mattress (King)
0
Flat Wardrobe
0