Survey Summary
Customer Information
Shipper Name:
Edward Cabrera
Survey Date:
11-Mar-2022
Origin Address:
Juvenat 4
Port-au-Prince
Haiti
Destination Address:
Gala tower
Petion-ville,
Haiti
Items Inventory
Description
Qnt.
Volume (CBM)
Weight (LBs)
Comment
Room
Land
Treadmill
1
0.85
195
---------
Dishes
4
0.68
156
---------
Table
1
0.17
39
---------
Mirror
2
0.32
72
---------
Food Stuff
3
0.51
117
---------
TV
1
0.25
58.5
---------
Additional
1
1.59
150.5
---------
Clothes
9
0.9
207
---------
Clothes Hamper
1
0.25
58.5
---------
Books
8
0.32
80
---------
Blankets
6
0.84
195
---------
Cabinet, China
3
5.1
1170
---------
Bureau/Dresser/Chest
3
2.55
585
---------
Bathroom items
10
1
230
---------
Bed, Single or Hollywood
1
1.53
351
---------
Chair, High
4
0.68
156
---------
Bookshelves, Sectional
4
1.36
312
---------
Cleaning Stuff
2
0.28
65
---------
Chairs, Folding
6
0.48
117
---------
BBQ Grill
1
0.57
130
---------
Total
20.24
4437
Owner Signature
____________________
Cartons
Box Name
Quantity
Book/Small Box
8
Medium Box
19
Large Box
0
Flat Box
0
Stand Up Box
0