Survey Summary
Customer Information
Shipper Name:
Lorvinksi Jean Ketler
Phone: +50937028498
Survey Date:
10-Jun-2021
Origin Address:
Village des Fleurs # 5
Port-au-Prince
Haiti
Floor number #0;
Note(s):
* Vivy Mitchell
Destination Address:
Route de Frere
Port-au-Prince,
Haiti
Floor number #1;
Note(s):
* Tabarre
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (LBs)
Comment
Room
Land
Chair, Straight
3
1.02
106.5
---------
Table
2
0.34
35
---------
Chair, Dining
8
3.2
332
---------
Bed, Double Size
3
5.94
618
---------
TV
2
0.5
52
---------
Night Table
4
0.68
70
---------
Coffee Table
2
1.14
119
---------
Dresser, Double
3
5.1
531
---------
Refrigerator
1
1.84
191.5
---------
Drawers
1
0.28
29
---------
TV Stand
1
0.48
50
---------
Sofa/ Couch, 3 Cushion
2
3.4
354
---------
Sofa/ Couch, 2 Cushion
2
2.38
248
---------
Additional
1
2.63
275.5
---------
Total
28.93
3014
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
0
Medium Box
0
Large Box
0
Flat Box
0
Stand Up Box
0