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Table of Measurements

Survey Completed: 7/13/2020

Agent
Dennis Leash - National Van Lines, Inc.
2800 W. Roosevelt Road
Broadview, IL 60155
Phone: 720-244-1372 Fax:

Origin Details Destination Details


Name: Kruger, Wendy Name: Kruger, Wendy
Address: 1716 14th Ave. Address:

City/State/Zip: Greeley, CO 80631 City/State/Zip: Irvine, CA 92603


County: County:
Phone (Home): 970-217-2440 Phone (Work): ___-___-____ Phone 970-217-2440 Phone (Work): ___-___-____
Email: peachwnk@gmail.com
Service Information Surveyed By: Dennis Leash
Taylor Moving, LLC
Packing Dates: 1275 Sherman Drive
Loading Dates: 8/13/2020 to 8/15/2020 Longmont, CO 80501
Delivery Dates: 8/15/2020 to 8/26/2020 Phone: 303-443-5885 Fax:
Order Number:

Packing Services Summary Pack By Owner Summary


Carton Cont. Packing Unpack Non Carton Qty Non
Qn/Kn Matt. - CP 4 4 4 0 1.5 - PBO 20 0
Single Matt. - CP 1 1 1 0 3.0 - PBO 30 0
4.5 - PBO 20 0
Total: 5 5 5 0
Book Carton - PBO 5 0
Dish Pack - PBO 2 0
Mirror Crt. - PBO 1 0
TV-Flat 30-59 - PBO 3 0
Total: 81 0

Location: Greeley, CO

Room: Bedroom 2
Cube Ship Non Cube Ship Non Cube Ship Non
Table, Night 5 1 0 Dresser, Single 30 1 0 Bed, Queen 60 1 0
4.5 - PBO 4.5 3 0 TV-Flat 30-59 - PBO 10 1 0 3.0 - PBO 3 4 0
CD Rack 5 1 0 1.5 - PBO 1.5 3 0 Qn/Kn Matt. - CP 0 2 0

Bedroom 2 Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
17
0
Cubic Feet Subtotal: 140 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 980

Room: Family Room


Cube Ship Non Cube Ship Non Cube Ship Non
Rug, Lg. Roll / Pad 10 1 0 1.5 - PBO 1.5 2 0 Chair, Arm 10 1 0
Mirror Crt. - PBO 3 1 0 Footstool 2 1 0 Bench, Harvest 10 1 0
Stereo Rack 5 1 0 Cat Post 5 1 0 3.0 - PBO 3 2 0
End Table 5 1 0 TV-Flat 30-59 - PBO 10 1 0 Sofa, Loveseat 30 1 0
Chest, Cedar 15 1 0 4.5 - PBO 4.5 2 0

Family Room Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
17
0
Cubic Feet Subtotal: 123 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 861
Room: Garage
Cube Ship Non Cube Ship Non Cube Ship Non
4.5 - PBO 4.5 5 0 Bicycle 5 2 0 Cooler 2 1 0
3.0 - PBO 3 5 0 Sleeping Bag 2 1 0 Tote, Plastic Small 4 8 0
Desk, Computer 15 1 0

Garage Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
23
0
Cubic Feet Subtotal: 98.5 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 689.5

Room: Hallway
Cube Ship Non Cube Ship Non Cube Ship Non
Vacuum Cleaner 3 1 0 1.5 - PBO 1.5 4 0 3.0 - PBO 3 3 0

Hallway Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
8
0
Cubic Feet Subtotal: 18 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 126

Room: Kitchen
Cube Ship Non Cube Ship Non Cube Ship Non
Dish Pack - PBO 10 2 0 Ladder, 3' Step 3 1 0 Cat Perch 15 1 0
Table, Kitchenette 10 1 0 4.5 - PBO 4.5 2 0 Microwave Oven 5 1 0
3.0 - PBO 3 2 0 Book Carton - PBO 7 5 0 Chair, Kitchenette 5 4 0
1.5 - PBO 1.5 2 0

Kitchen Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
21
0
Cubic Feet Subtotal: 126 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 882

Room: Master Bedroom


Cube Ship Non Cube Ship Non Cube Ship Non
Table, Night 5 1 0 Bed, Queen 60 1 0 4.5 - PBO 4.5 2 0
Dresser, Single 30 1 0 Rug, Lg. Roll / Pad 10 1 0 TV-Flat 30-59 - PBO 10 1 0
3.0 - PBO 3 2 0 1.5 - PBO 1.5 2 0 Qn/Kn Matt. - CP 0 2 0

Master Bedroom Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
13
0
Cubic Feet Subtotal: 133 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 931

Room: Office
Cube Ship Non Cube Ship Non Cube Ship Non
1.5 - PBO 1.5 2 0 Rug, Lg. Roll / Pad 10 1 0 Footstool 2 1 0
Cat Post 5 1 0 3.0 - PBO 3 2 0 End Table 5 1 0
Exercise Machine 20 1 0 Bed, Single 40 1 0 Chair, Occasional 15 1 0
Cabinet, Filing 2D 10 1 0 4.5 - PBO 4.5 1 0 Single Matt. - CP 0 1 0

Office Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
14
0
Cubic Feet Subtotal: 120.5 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 843.5
Room: Porch/Outdoor
Cube Ship Non Cube Ship Non Cube Ship Non
BBQ Grill, Small 2 0 1 Umbrella 5 1 0 Chair, Metal 3 4 0
Umbrella Stand 4 1 0 Table, Large Outdoor 5 1 0

Porch/Outdoor Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
7
1
Cubic Feet Subtotal: 26 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 182

Room: Workshop/Basement
Cube Ship Non Cube Ship Non Cube Ship Non
Refrig., 6 cf. or < 15 0 1 4.5 - PBO 4.5 5 0 Shelf, Metal 5 1 0
Microwave Oven 5 0 1 3.0 - PBO 3 10 0 1.5 - PBO 1.5 5 0

Workshop/Basement Total Number Of Pieces to be Shipped:


Total Number of Pieces NOT to be Shipped:
21
2
Cubic Feet Subtotal: 65 Weight Factor: 7
Add. Weight: 0 Weight Subtotal: 455

Summary of Items Not Shipping


Room Item Qty Room Item Qty Room Item Qty
Porch/Outdoor BBQ Grill, Small 1 Workshop/Basem Microwave Oven 1 Workshop/Basem Refrig., 6 cf. or < 1
ent ent
Total Items Not Shipping: 3

Move Summary

Weight Factor: 7 Total Cubic Feet: 850

Total Number of Pieces NOT to be Shipped: 3 Total Calculated Weight: 5950

Total Weight of Pieces NOT to be Shipped: 154 Total Estimated Weight: 5950

Total Number of Pieces to be Shipped: 141

Customer's Signature Date

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