Itemized Customer Survey/Inventory



Customer

Alison Savill
13 North Shore Road
Pembroke

Phone: 505-8714
Email:Susan.Lemish@SIRVA.com

Total Estimated Weight:4687 Total Estimated Cubic Feet:720.5 Total # of Items: 99

Items Inventory


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# Item Description CFT CP # PBO# Comment
2Dresser4620 
2Bed frame3220 
2Mattress5020 
1Crib, Baby1210 
2Cedar Chest3620 
1Lamp, Floor or Pole410 
1Tables, Drop-leaf/Occasional1510 
2Golf Bag/Clubs1220 
1Cabinet, Corner2410 
1Chair, Rocker1510 
2Tables, Coffee, End or Nest1820 
1Sofa/ Couch, Sectional, Per Section3610 
1Bookcase2410 
2Mirror620 
2Couch5420 
1Umbrella, Garden3010 
1End Table2010 
6Chair, outdoor3660 
1Coffee Table2010 
2Rugs, Small Roll or Pad820 
25Cartons, China Barrels125250 
25Cartons, Medium75250 
15Cartons, Small (Book)22.5150 

Total Cubic Feet: 720.5                   Total Weight:4687


Carrier Packing & Crating Summary


Carrier Pack

# Item Description Room
25Cartons, China Barrels---------
25Cartons, Medium---------
15Cartons, Small (Book)---------

Packing

Item Description Cartons # Pack-CP # PBO #
Cartons, China Barrels25250
Cartons, Medium25250
Cartons, Small (Book)15150

Note(s):


Signing below acknoledges receipt an estimate of your move based on the Table of Measurments. Only the items listed are included in the cost. Any items added or additional services may result in additional cost.


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Customer Signature
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