Itemized Customer Survey/Inventory

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Itemized Customer Survey/Inventory Customer Estimator Move Coordinator Al Dahlbach 321 Deer Crossing Apt Plum Castle Rock, CO 80109 (303) 506-7090 Estimate Number: M 470-2535752 Move Date: 5/2/2013 Greg Holmes Mayflower/ Buehler Companies Direct 303-336-9419 16456 E Airport Circle, Ste 100 Aurora, CO 80011 (303) 388-4000 Ext. 419 (720) 838-4905 (Mobile) (303) 388-0296 (Fax) gholmes@buehlercompanies.com Rhonda Rutland Mayflower/ Buehler Companies Aurora, CO 80011 (303) 336-9402 3033880296 (Fax) Rrutland@buehlercompanies.com Total Estimated Weight: 17,561 lbs. Total Estimated Cubic Feet: 2,508.7 Total Number of Items: 364 Basement 12 Book Carton 7.0 0 12 1 Dishpack 10.0 0 1 2 Dishpack 10.0 2 0 39 1.5 Cu. Carton 1.5 0 39 19 3.0 Cu. Carton 3.0 0 19 5 3.0 Cu. Carton 3.0 5 0 7 4.5 Cu. Carton 4.5 0 7 1 4.5 Cu. Carton 4.5 1 0 8 6.0 Cu. Carton 6.0 0 8 7 Corr Mirror Carton - Repk if nec 3.0 0 7 5 Wardrobe Carton - Animal head 10.0 5 0 4 CHAIR..FOLDING 2.0 0 0 1 Card Table 2.0 0 0 1 Chair - Childs 3.0 0 0 1 Crib 10.0 0 0 1 Filing Cabinet - 4-door 30.0 0 0 2 Golf Bag 4.0 0 0 1 Ironing Board 2.0 0 0 1 Ladder - 6' Step 3.0 0 0 1 Pool Table - Slate - 3rd party svc 100.0 0 0 1 REFRIGERATOR--serviced by owner 50.0 0 0 2 Rug - 9 x 12 15.0 0 0 4 Saw Horse 3.0 0 0 2 Stool - Bar 5.0 0 0 3 Suitcase 5.0 0 0 2 Table - Small 5.0 0 0 1 Table - Utility 5.0 0 0 2 Toy - Plastic Small 2.0 0 0 1 Workbench/sm 10.0 0 0 1 chair....small 4.0 0 0 2 cooler 4.0 0 0 1 wood pcs 10.0 0 0 Total Cubic Feet: 733.5 Total Weight (lbs.): 5134.5 Bathroom Bathroom 3 4.5 Cu. Carton - Plastic plants 4.5 3 0 Total Cubic Feet: 13.5 Total Weight (lbs.): 94.5 Bedroom 1 1 3.0 Cu. Carton 3.0 0 1 3 4.5 Cu. Carton 4.5 0 3 1 Corr Mirror Carton 3.0 1 0 4 Wardrobe Carton 10.0 4 0 2 Queen Mattress/Bag 0.0 2 0 1 Bed - Queen 65.0 0 0 1 Bench 5.0 0 0 1 Dresser - Double 30.0 0 0 1 Night Table 5.0 0 0 Total Cubic Feet: 164.5 Total Weight (lbs.): 1151.5 Page 1 of 6

Bedroom 2 Den/Library 4 Book Carton 7.0 0 4 5 1.5 Cu. Carton 1.5 0 5 1 3.0 Cu. Carton 3.0 1 0 4 Corr Mirror Carton 3.0 4 0 1 CREDENZA 30.0 0 0 1 Chair 5.0 0 0 1 Chair - Overstuffed 25.0 0 0 1 DESK...SMALL 20.0 0 0 1 Desk - Office 50.0 0 0 2 Table - Small 5.0 0 0 Total Cubic Feet: 190.5 Total Weight (lbs.): 1333.5 Dining Room 4 Dishpack 10.0 4 0 1 4.5 Cu. Carton 4.5 1 0 2 Corr Mirror Carton 3.0 2 0 1 Wardrobe Carton - Tree 10.0 1 0 1 Buffet - Base 30.0 0 0 1 Buffet(Top) 20.0 0 0 6 Chair 5.0 0 0 1 Server 17.0 0 0 1 Table - Dining 30.0 0 0 1 Table - Extension Leaf 7.0 0 0 Total Cubic Feet: 194.5 Total Weight (lbs.): 1361.5 Family Room 2 Book Carton 7.0 0 2 1 Dishpack 10.0 1 0 1 1.5 Cu. Carton 1.5 0 1 1 3.0 Cu. Carton 3.0 1 0 2 Corr Mirror Carton 3.0 2 0 1 Wardrobe Carton - Tree 10.0 1 0 1 Chair - Overstuffed 20.0 0 0 1 Ottoman - Small 5.0 0 0 1 Sofa - 3 Cushion 50.0 0 0 2 Table 5.0 0 0 1 Table - End Coffee 12.0 0 0 Total Cubic Feet: 141.5 Total Weight (lbs.): 990.5 Foyer Garage 2 Book Carton 7.0 0 2 7 1.5 Cu. Carton 1.5 0 7 6 3.0 Cu. Carton 3.0 0 6 2 6.0 Cu. Carton 6.0 0 2 2 BIKE 5.0 0 0 1 CART 7.0 0 0 3 CHAIR..FOLDING 2.0 0 0 3 DECORATIONS 5.0 0 0 1 LADDER 5.0 0 0 1 LAWN MOWER...GAS POWER 9.0 0 0 1 Ladder - 8' Step 5.0 0 0 1 Shelves - Metal 5.0 0 0 1 Snowblower 10.0 0 0 1 Spreader 5.0 0 0 1 Toy - Large 10.0 0 0 2 Trash Can 4.0 0 0 1 Vacuum Cleaner 5.0 0 0 1 Wheelbarrow 5.0 0 0 11 tools 1.0 0 0 Total Cubic Feet: 170.5 Total Weight (lbs.): 1193.5 Hallway 1 Glass Crate (58"x22"x5") - Crate gala tbl 3.7 1 0 2 Dishpack 10.0 2 0 1 1.5 Cu. Carton 1.5 0 1 1 3.0 Cu. Carton 3.0 0 1 1 Cabinet - Curio Utility 12.0 0 0 1 Table - Large 15.0 0 0 Page 2 of 6

Total Cubic Feet: 55.2 Total Weight (lbs.): 386.4 Kitchen 1 Baker's Rack 25.0 0 0 4 Chair 5.0 0 0 1 Rug - 9 x 12 10.0 0 0 2 Stool - Bar 5.0 0 0 2 Table - Extension Leaf 7.0 0 0 1 Table - Kitchen 20.0 0 0 Total Cubic Feet: 99.0 Total Weight (lbs.): 693.0 Laundry Room 1 1.5 Cu. Carton 1.5 0 1 1 Dryer - Cp 32.0 0 0 1 Washing Machine/Front Load - Cp Has kit 30.0 0 0 Total Cubic Feet: 63.5 Total Weight (lbs.): 444.5 Living Room 1 Book Carton 7.0 0 1 2 Dishpack 10.0 2 0 1 3.0 Cu. Carton 3.0 1 0 1 3.0 Cu. Carton 3.0 0 1 1 6.0 Cu. Carton - Lamp 6.0 1 0 2 Corr Mirror Carton - Cp TV. 39x25 10.0 2 0 1 Wardrobe Carton - Tree 10.0 1 0 1 Chair 5.0 0 0 2 Chair - Overstuffed 25.0 0 0 1 Ottoman - Small 7.0 0 0 1 Rug - 9 x 12 15.0 0 0 1 Sofa - 3 Cushion 50.0 0 0 3 Table 5.0 0 0 Total Cubic Feet: 211.0 Total Weight (lbs.): 1477.0 Master Bedroom 1 Dishpack 10.0 1 0 3 1.5 Cu. Carton 1.5 0 3 1 3.0 Cu. Carton 3.0 1 0 2 3.0 Cu. Carton 3.0 0 2 2 4.5 Cu. Carton 4.5 0 2 1 Corr Mirror Carton 3.0 1 0 1 Wardrobe Carton - Tree 10.0 1 0 4 Wardrobe Carton 10.0 4 0 2 Queen Mattress/Bag 0.0 2 0 1 Bed - King 70.0 0 0 1 Chair - Occasional 15.0 0 0 1 Chest 9.0 0 0 1 Chest - Armoire 30.0 0 0 1 Dresser - Triple 50.0 0 0 1 Night Table 5.0 0 0 1 Table - Small 5.0 0 0 Total Cubic Feet: 269.5 Total Weight (lbs.): 1886.5 Outdoors PANTRY. 2 Book Carton 7.0 2 0 6 Dishpack 10.0 6 0 2 1.5 Cu. Carton 1.5 0 2 7 1.5 Cu. Carton 1.5 7 0 1 3.0 Cu. Carton 3.0 0 1 9 3.0 Cu. Carton 3.0 9 0 3 4.5 Cu. Carton 4.5 3 0 1 Broom/mops/Bucket 1.0 0 0 Total Cubic Feet: 132.0 Total Weight (lbs.): 924.0 Patio Patio/Deck/Yard Page 3 of 6

1 BBQ Grill - Large 13.0 0 0 6 CHAIR..METAL 4.0 0 0 1 Table - Large 25.0 0 0 1 Umbrella - Patio 8.0 0 0 Total Cubic Feet: 70.0 Total Weight (lbs.): 490.0 Items Not Going # Item Description Room # Item Description Room 1 TV - 60 & Over Family Room 2 Golf Bag Garage 1 REFRIGERATOR--serviced by owner PANTRY. Page 4 of 6

Carrier Packing & Crating Summary Pack by Owner # Item Description Room # Item Description Room 12 Book Carton Basement 4 Book Carton Den/Library 2 Book Carton Family Room 2 Book Carton Garage 1 Book Carton Living Room 1 Dishpack Basement 39 1.5 Cu. Carton Basement 5 1.5 Cu. Carton Den/Library 1 1.5 Cu. Carton Family Room 7 1.5 Cu. Carton Garage 1 1.5 Cu. Carton Hallway 1 1.5 Cu. Carton Laundry Room 3 1.5 Cu. Carton Master Bedroom 2 1.5 Cu. Carton PANTRY. 19 3.0 Cu. Carton Basement 1 3.0 Cu. Carton Bedroom 1 6 3.0 Cu. Carton Garage 1 3.0 Cu. Carton Hallway 1 3.0 Cu. Carton Living Room 2 3.0 Cu. Carton Master Bedroom 1 3.0 Cu. Carton PANTRY. 7 4.5 Cu. Carton Basement 3 4.5 Cu. Carton Bedroom 1 2 4.5 Cu. Carton Master Bedroom 8 6.0 Cu. Carton Basement 2 6.0 Cu. Carton Garage 7 Corr Mirror Carton Basement Carrier Pack # Item Description Room # Item Description Room 2 Book Carton PANTRY. 2 Dishpack Basement 4 Dishpack Dining Room 1 Dishpack Family Room 2 Dishpack Hallway 2 Dishpack Living Room 1 Dishpack Master Bedroom 6 Dishpack PANTRY. 7 1.5 Cu. Carton PANTRY. 5 3.0 Cu. Carton Basement 1 3.0 Cu. Carton Den/Library 1 3.0 Cu. Carton Family Room 1 3.0 Cu. Carton Living Room 1 3.0 Cu. Carton Master Bedroom 9 3.0 Cu. Carton PANTRY. 1 4.5 Cu. Carton Basement 3 4.5 Cu. Carton Bathroom 1 4.5 Cu. Carton Dining Room 3 4.5 Cu. Carton PANTRY. 1 6.0 Cu. Carton Living Room 1 Corr Mirror Carton Bedroom 1 4 Corr Mirror Carton Den/Library 2 Corr Mirror Carton Dining Room 2 Corr Mirror Carton Family Room 2 Corr Mirror Carton Living Room 1 Corr Mirror Carton Master Bedroom 5 Wardrobe Carton Basement 4 Wardrobe Carton Bedroom 1 1 Wardrobe Carton Dining Room 1 Wardrobe Carton Family Room 1 Wardrobe Carton Living Room 1 Wardrobe Carton Master Bedroom 4 Wardrobe Carton Master Bedroom 2 Queen Mattress/Bag Bedroom 1 2 Queen Mattress/Bag Master Bedroom Crating Items # Item Description Room 1 Glass Crate (58"x22"x5") Hallway Packing Item Description CARTONS # PACK - CP# UNPACK # PBO # Book Carton 2 2 0 21 Dishpack 18 18 0 1 1.5 Cu. Carton 7 7 0 59 3.0 Cu. Carton 18 18 0 31 4.5 Cu. Carton 8 8 0 12 6.0 Cu. Carton 1 1 0 10 Corr Mirror Carton 12 12 0 7 Wardrobe Carton 17 17 0 0 Queen Mattress/Bag 4 4 4 0 Total 87 87 4 141 Page 5 of 6

Signing below acknowledges receipt of an estimate of your move based on the Table of Measurements. Only the items listed are included in the cost. Any items added or additional services may result in additional cost. Customer Signature Date Carrier's Representative Date Page 6 of 6