Itemized Customer Survey/Inventory



Customer

Simon & Clair Riviere
25 Peace Haven Drive
Sandys

Phone: 533-0660
Email:spriviere@aol.com

Total Estimated Weight:6681.5 Total Estimated Cubic Feet:1027 Total # of Items: 150

Items Inventory


Bedroom #1
# Item Description CFT CP # PBO# Comment
2Bed, Double Size14020 
3Bench3630 
4Mirror2240 
1Table, Dining4210 
8Dining Chair12080 
1Trunk910 
3Tables, Coffee, End or Nest2730 
3Night Table1830 
4Chair, outdoor2840 
1Corner Lamp Shade710 
2Golf Bag/Clubs1220 
1Xmas Tree1510 
6Lamp, Floor or Pole2460 
1Bookcase2410 
1Bookshelves, Sectional1210 
1Coffee Table2010 
1Chest of Drawers3510 
4Tables, Coffee, End or Nest3640 
7Chair, Occasional8470Metal chairs
30Books, Medium box90300 
20Cartons, Small (Book)30200 
20Picture60200 
20Cartons, China Barrels100200 
1Electronic Piano1610 
1Rugs, Small Roll or Pad410 

Total Cubic Feet: 1011                   Total Weight:6577.5


Living Room
# Item Description CFT CP # PBO# Comment
4Stool1640 

Total Cubic Feet: 16                   Total Weight:104


Carrier Packing & Crating Summary


Carrier Pack

# Item Description Room
20Cartons, Small (Book)Bedroom #1
20Cartons, China BarrelsBedroom #1

Packing

Item Description Cartons # Pack-CP # PBO #
Cartons, Small (Book)20200
Cartons, China Barrels20200

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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Date