Itemized Customer Survey/Inventory
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Customer
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Simon & Clair Riviere
25 Peace Haven Drive
Sandys
Phone: 533-0660
Email:spriviere@aol.com
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Total Estimated Weight:6681.5
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Total Estimated Cubic Feet:1027
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Total # of Items: 150
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Bedroom #1
| # | Item Description | CFT | CP # | PBO# | Comment |
| 2 | Bed, Double Size | 140 | 2 | 0 | |
| 3 | Bench | 36 | 3 | 0 | |
| 4 | Mirror | 22 | 4 | 0 | |
| 1 | Table, Dining | 42 | 1 | 0 | |
| 8 | Dining Chair | 120 | 8 | 0 | |
| 1 | Trunk | 9 | 1 | 0 | |
| 3 | Tables, Coffee, End or Nest | 27 | 3 | 0 | |
| 3 | Night Table | 18 | 3 | 0 | |
| 4 | Chair, outdoor | 28 | 4 | 0 | |
| 1 | Corner Lamp Shade | 7 | 1 | 0 | |
| 2 | Golf Bag/Clubs | 12 | 2 | 0 | |
| 1 | Xmas Tree | 15 | 1 | 0 | |
| 6 | Lamp, Floor or Pole | 24 | 6 | 0 | |
| 1 | Bookcase | 24 | 1 | 0 | |
| 1 | Bookshelves, Sectional | 12 | 1 | 0 | |
| 1 | Coffee Table | 20 | 1 | 0 | |
| 1 | Chest of Drawers | 35 | 1 | 0 | |
| 4 | Tables, Coffee, End or Nest | 36 | 4 | 0 | |
| 7 | Chair, Occasional | 84 | 7 | 0 | Metal chairs
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| 30 | Books, Medium box | 90 | 30 | 0 | |
| 20 | Cartons, Small (Book) | 30 | 20 | 0 | |
| 20 | Picture | 60 | 20 | 0 | |
| 20 | Cartons, China Barrels | 100 | 20 | 0 | |
| 1 | Electronic Piano | 16 | 1 | 0 | |
| 1 | Rugs, Small Roll or Pad | 4 | 1 | 0 | |
Total Cubic Feet: 1011 Total Weight:6577.5
Living Room
| # | Item Description | CFT | CP # | PBO# | Comment |
| 4 | Stool | 16 | 4 | 0 | |
Total Cubic Feet: 16 Total Weight:104
Carrier Packing & Crating Summary
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Carrier Pack
| # |
Item Description |
Room |
| 20 | Cartons, Small (Book) | Bedroom #1 |
| 20 | Cartons, China Barrels | Bedroom #1 |
Packing
| Item Description |
Cartons # |
Pack-CP # |
PBO # |
| Cartons, Small (Book) | 20 | 20 | 0 |
| Cartons, China Barrels | 20 | 20 | 0 |
| 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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Date |
