Survey Summary
Customer Information
Shipper Name:
Melissa Padberg
Survey Date:
04-Jun-2021
Origin Address:
155 Impasse Lafontant
Petion-ville
Haiti
Note(s):
* Montagne Noire
Destination Address:
Rwanda
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (LBs)
Comment
Room
Air
Additional
1
0.21
47.5
---------
Clothes
4
0.4
92
---------
Sound system
1
0.28
65
---------
Computer Set
1
0.25
58.5
---------
Chair, office
1
0.45
104
---------
Rugs, Small Roll or Pad
1
0.11
26
---------
Exercise Bike
1
0.57
130
---------
Total
2.27
522
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
4
Large Box
0
Flat Box
0
Stand Up Box
0