Survey Summary
Customer Information
Shipper Name:
JBS Polyclinique
Phone: +50937013485
Survey Date:
21-Apr-2021
Origin Address:
115 Rue Capois
Port-au-Prince
Haiti
Floor number #1;
Destination Address:
Rue Gabard
Petion-ville,
Haiti
Floor number #1;
Note(s):
* En Face BPH
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (LBs)
Comment
Room
Land
Microscope (Machine)
2
0.16
380
---------
Misc.
1
0.1
200
---------
Bed/Roll Away
1
0.81
84.5
---------
Stool
2
0.22
23
---------
Refrigerator
1
1.84
191.5
---------
Lamp, Floor or Pole
1
0.11
11.5
---------
Files
4
0.32
34
---------
Desk, Secretary
2
2.38
248
---------
Office Chair
4
1.68
174
---------
Bookshelves, Sectional
1
0.34
35.5
---------
Chair, Occasional
8
2.72
284
---------
Additional
1
1.7
166.5
---------
Total
12.38
1831.5
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
0
Stand Up Box
0