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)20.16380 ---------
Misc.10.1200 ---------
Bed/Roll Away10.8184.5 ---------
Stool20.2223 ---------
Refrigerator11.84191.5 ---------
Lamp, Floor or Pole10.1111.5 ---------
Files40.3234 ---------
Desk, Secretary22.38248 ---------
Office Chair41.68174 ---------
Bookshelves, Sectional10.3435.5 ---------
Chair, Occasional82.72284 ---------
Additional11.7166.5 ---------
Total 12.381831.5  

Owner Signature
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          Cartons



Box NameQuantity
Book/Small Box0
Medium Box0
Large Box0
Flat Box0
Stand Up Box0