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Date: Month Day
Year Time
FROM Apt
City State OH Zip:
Building Bedrooms
Flights Elevators  Long Carry 
Ex Pickup: Apt
City State OH Zip
TO Apt
City State OH Zip
Building Bedrooms
Flights Elevators  Long Carry 
Ex Drop-off Apt
City State OH Zip:
Packing Required?
Packers Est Hours
Packing Materials:  $
Packing Rate:  $
Trucks Movers Est Hours
Moving Rate:  $
Travel Charge:  $
Estimate:  $
Living Rm
Bookcase
Bookcase Lrg
Chair, stuffed
Chair, Rocker
Chair, Str. Back
Coffee Table
Coat Rack
Cupboard
Desk, Sm
Desk, Lrg
End Table
Ent. Center
Fireplace Equip
Floor Lamp
Footstool
Gnd. Fth Clock
Loveseat
Piano, Grand
Piano, Upright
Piano, Spinet
Rug, Sm
Rug, Lrg
Stereo Cabinet
Sofa, 3 Seat
Sofa Bed, 4
Sec. Sofa, per
Table, Occa.
TV, Flat
TV, Table Top
TV Stand
Bedrooms
Armoire
Bed, Single
Bed, Double
Bed, Queen
Bed, King
Bunk Bed
Bookcase, Sm
Bookcase, Lrg
Chair sm
Chair, Reg.
Stuff Chair
Rocking Chair
Chest of D. Sm
Chest of D, Lrg
Desk Sm
Dresser, Sm
Dresser, Lrg
Lounge Chair
Night Stand
Rug, Sm
Rug, Lrg
Table, Occa.
Wardrobe
Dining Rm
Buffet
Cabinet
Cabinet, Corner
Chairs, Dining
China-base
China-top
High Chair
Hutch
Rug, Small
Rug, Rm Size
Server
Table, Dining
Table, Occa.
Tea Cart
Kitchen
Baker's Rack
Baker's Table
Cabinet, Kit.
Cabinet, Cor.
Dish Washer
Ironing Board
Kitchen Chair
Kitchen Table
Microwave
Microwave Std
Refrigerator
Stove
Table, Occa.
Office / Den
Bookcase, sm
Bookcase, Lrg
Chair, Desk
Chair, Stuffed
Coat Rack
Computer
Copier/Printer
Copier, Lrg
Desk, Sm
Desk, Lrg
File Boxes
Floor Lamp
File Cabinet, 2
File Cabinet, 4
Lamp Table
Office Table
Sofa, 3 Seat
Cellar / Family
Bookshelves
Bookshelv Sm
Cabinet, Utility
Chair, Overstuff
Coffee Table
Couch
Dryer
Exerciser
Fish Tank
Freezer
Locker, Trunk
Racks, Utility
Refrigerator
Refriger Sm.
Stereo system
TV, Flat
TV, Table Top
Washing Mach.
Nursery
Baby Crib
Child's Bed
Child's Chair
Child's Table
Changing Table
Play Pen
Rocking Chair
Rug Small
Toy Box
Toy, Large
Fragiles
Art 2' plus
Glass Top
Marble Top
Mirror, Large
Picture 3' Plus
Garage / Patio
BBQ Grill
Bicycle
Bird Bath
Cabinet, Utility
Chair, Lounge
Chair, Patio
Child's Gym
Exerciser
Garden Tools
Game Table
Ladder, Step
Ladder, Exten.
Lawn Mower
Picnic Table
Table, Patio
Tool Box
Umbrella, lrg
Boxes
Bags, Large
Carton, Small
Carton, Medium
Carton, Large
Boxes
Dish Pack
Mirror Carton
Tub, Plastic
Wardrobe, Box
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