Survey Summary
Customer Information
Shipper Name:
Sue Ostrem
Survey Date:
28-Jun-2021
Origin Address:
SR-137
Port-au-Prince
Haiti
Note(s):
* Tabarre
Destination Address:
Alexandria, Virginia
United States
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (LBs)
Comment
Room
Sea
Additional
1
1.7
390.5
---------
Plastic Box
5
0.4
97.5
---------
Corner Shelf
3
1.35
312
---------
Desk, Secretary
1
1.19
273
---------
Towels
2
0.2
46
---------
Suitcase
5
0.85
195
---------
Weight Scale
1
0.08
19.5
---------
Clothes
6
0.6
138
---------
Linen
3
0.3
69
---------
Books
7
0.28
70
---------
Painting
4
0.24
52
---------
Piano Upright
1
2.18
500.5
---------
Shoes
4
0.4
92
---------
Picture
4
1
228
---------
Glassware
5
0.5
115
---------
Coffee Maker
1
0.08
19.5
---------
Printer
1
0.08
19.5
---------
Toaster
1
0.06
13
---------
TV
2
0.5
117
---------
Pots & Pans
3
0.42
97.5
---------
Dishes
3
0.51
117
---------
Glassware
4
0.4
92
---------
Coat Rack
3
0.72
166.5
---------
Stool
5
0.55
130
---------
Rugs, Small Roll or Pad
8
0.88
208
---------
Rugs, Large Roll or Pad
3
1.02
234
---------
Bed, King Size
1
2.12
487.5
---------
Total
18.62
4292
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
7
Medium Box
24
Large Box
3
Flat Box
4
Stand Up Box
0