882175 UPS Claim Form

: Coffee 882175 Ups Claim Form 882175 UPS Claim Form private

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Tracking Number: 1Z4133170392393730 PO: AN882175

Receiver's name and telephone number

TELA PARTNERS

TOYIN FRANKEL

1803 PINE ST

PHILADELPHIA, PA 19103

267-467-0288

- Weight of the package

49 oz.

- Disposition of the package (whether it is with the shipper or the receiver)

RECEIVER

- Invoice number, purchase order number, or package ID number (if applicable)

PO: AN882175

- Does the package include Hazardous Materials / unknown chemicals or liquid that is not factory

sealed?

NO

- Does the package contain a firearm?

NO

- Number of items damaged

1

- Value of the damaged items

$20.64 Total

($10.48 for 8 Cup and Saucer Sets - Replacement Cost)

(plus $10.16 for Transportation Charges)

- Is the item(s) repairable?

NO

- What is the repair cost

N/A

- Provide a detailed description of the damaged item(s) (including model number, serial number,

part number, color, size, etc.)

2 x Ancap 22216 Verona Latte Cup and Saucer

2 x Ancap 16497 Verona Espresso Cup and Saucer

4 x Ancap 16498 Verona Cappuccino Cup and Saucer

- Number of missing items, if applicable

N/A

- Value of missing items, if applicable

N/A

- Provide a detailed description of the missing item(s) (including model number, serial number,

part number, color, size, etc.)

N/A

INDICATE THE PACKAGE TYPE(S)

- Box

- Was there obvious damage to the outside of the package? YES

INDICATE THE INTERNAL CUSHIONING USED (Indicate all that apply)

- Bubble Wrap