Survey Summary
Customer Information
Shipper Name:
Ramses Gauthier
Phone: 9547160357
Email:
Survey Date:
Origin Address:
1181 SW 4th Terrace
Pompano Beach
33060
Destination Address:
Items Inventory
Description
Qnt.
Volume (CFT)
Weight (LBs)
Comment
Room
Sea
Cartons, Large
14
63
413
---------
15 cube
9
135
877.5
---------
Total
198
1287
Air
15 cube
7
105
682.5
---------
Total
105
682.5
Note(s):
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
14
Flat Box
0
Stand Up Box
0
Dishpack
0