worker
Bladimir Pervilus
Forklift Operator
Indianapolis,IN
2
Languages
24
years of professional experience
Skills
Positive demeanor
Teamwork and collaboration
Customer service
Problem-solving
Work History
Newcold
8 Months- Self-motivated, with a strong sense of personal responsibility.
- Skilled at working independently and collaboratively in a team environment.
- Worked effectively in fast-paced environments.
- Proven ability to learn quickly and adapt to new situations.
Forklift Operator Pick and Pack Recieving
1 Year 5 Months- Operated forklifts to load, unload, and transport pallets throughout warehouse.
- Supported shipping and receiving processes by moving freight to designated locations.
- Stacked materials accurately to maximize storage space and maintain order.
- Inspected equipment before shifts to verify safe operation and report defects.
Forklift Operator
21 Years- Operated forklifts to move pallets, materials, and finished goods safely across warehouse zones.
- Loaded and unloaded trailers while verifying shipment accuracy against receiving and dispatch documentation.
- Replenished pick locations to support order fulfillment and continuous warehouse flow.
- Inspected equipment daily, reporting maintenance issues and removing unsafe machinery from service.
Amazon Associate
10 Months- Picked and packed customer orders with accuracy, following fulfillment standards and shipment requirements.
- Scanned items, labels, and barcodes to verify order details and reduce packing errors.
- Sorted incoming inventory and organized stock for efficient retrieval and workflow continuity.
- Assembled cartons, applied shipping labels, and prepared packages for outbound delivery.
Education
High School Diploma
Languages
English
Professional Working
French
Full Professional
Instructions / Definitions / Agreement / Privacy Act Statement / Notary
- 1 Include house number, street, and apartment/suite number if applicable.
- 2 For Business/Organization Use, complete item 7.
- 3 For Residential/Personal Use, complete a separate PS Form 1583 for each adult using this PMB.
- 4 Address must match document provided in item 9b.
- 5 The Applicant authorizes mail to be collected by the individual noted in item 5.
- 6 Address must match document provided in item 11b.
- 7 Complete item 6 if the mail addressed to this PMB is to be transferred, mailed, shipped, or emailed to another address.
- 8 The place of registration is the county and state (if domestic), or the country (if foreign).
- 9 Two types of identification are required for both the Applicant and, if listed, the Authorized Individual. One ID must be a government-issued photo ID. The second must confirm the Applicant's or Authorized Individual's address listed on this form. The acceptable types of photo ID are listed in items 8 and 10. Attach a copy of the photo and address ID documents.
- 10 Although the driver's/nondriver's ID is listed in 8b and 9g as an option for both the Applicant and address ID, it may be used for only one of the IDs (either photo ID or address ID), not both.
- 11 The acceptable types of address verification are listed in items 9g and 11g. Attach a copy of the photo and address ID documents.
- 12 Although the driver's/nondriver's ID is listed in 10e and 11g as an option for both the Authorized Individual's photo ID and address ID, it may be used for only one of the IDs (either photo ID or address ID), not for both.
- 13 For Business/Organization Use: List members who will be receiving mail at this PMB. Each person listed must, upon request, present two forms of valid ID to the Postal Service. For Residential/Individual Use: A parent or guardian may receive the mail of a minor by listing the minor's name — the minor's ID is not required.
- 14 By signing this form, the applicant certifies the following — for Business/Organization Use, an officer must sign the application and provide his or her title:
- 15 The agent or an authorized employee may sign item 14a. If the Notary Public has a seal, the Notary Public completes the box.
- Definitions:
- Agent: The Commercial Mail Receiving Agency (CMRA). Authorized employee: An employee of the CMRA who is authorized to act on the CMRA's behalf. Authorized individual: A person who is authorized to pick up mail for the PMB holder.
- Agreement: In consideration of delivery of my mail or our firm's mail to the agent named on Page 1, the applicant and agent agree: (1) the applicant or the agent must not file a change of address order with the Postal Service upon termination of the agency relationship; (2) the transfer of all mail to another address is the responsibility of the applicant and the agent; (3) all mail delivered to the agency under this authorization must be prepaid with new postage when addressed to the agency or when it becomes obsolete, the applicant must file an updated application with the agent.
- NOTE: The applicant must sign or confirm their signature in the physical or virtual presence (in real-time audio and video) of the Agent or the Agent's authorized employee or acknowledged their signature in the physical or virtual presence (in real-time audio and video) of a notary public commissioned in a United States state, territory, possession, or the District of Columbia. The applicant must also provide the original completed PS Form 1583 to the Postal Service's CMRAs and the agent must retain the completed signed copy at the CMRA business location. The CMRA copy of PS Form 1583 must at all times be available for examination by the postmaster (or designee) and the Postal Inspection Service. The applicant and the agent agree to comply with all applicable Postal Service rules and regulations relative to delivery of mail through an agent. Failure to comply will subject the agency to withholding of mail from delivery until corrective action is taken.
- This application may be subject to verification procedures by the Postal Service to confirm that the applicant resides or conducts business at the home or business address listed in items 4 or 7, and that the identification listed in items 8-11 are valid. The agent must complete items 2a-2e and items 14a and 14b if necessary (i.e., if the agent is the witness), and the applicant must complete all the other items.
- Privacy Act Statement: Your information will be used to administer the Commercial Mail Receiving Agency (CMRA) application, enrollment, and fulfillment processes, to verify your identity when applying for service via a CMRA, to ensure proper and secure delivery of mail to the correct recipient, and to permit delivery of your mail to your authorized agent. Collection is authorized by 39 USC 401, 403, and 404. Supplying the information is voluntary, but if not provided, we will not be able to fulfill your request for delivery of mail through an agent. We do not disclose your information without your consent to third parties, except for the following limited circumstances: incident to legal proceedings involving the Postal Service; for law enforcement purposes; to a congressional office on your behalf; to agents or contractors when necessary to fulfill a business function; to a U.S. Postal Service auditor; to labor organizations as required by applicable law; to government agencies in connection with decisions as necessary; to agencies and entities for financial matters; or for customer service purposes. In addition, information may be disclosed for the purpose of identifying an address as an address of an agent to whom mail is delivered on behalf of other persons. However, this specific routine use does not authorize the disclosure of the identities of persons on behalf of whom agents receive mail. All routine uses are subject to the following exception: Information concerning an individual who has filed an appropriate protective court order with the application will not be disclosed except pursuant to the order of a court of competent jurisdiction and subject to the approval of the USPS General Counsel. For more information on our privacy policies, visit www.usps.com/privacypolicy.
- Notary Public in and for the STATE OF GA
- COUNTY OF PAULDING
- On this 28th day of October, 2025
- The applicant, Tania Dor, who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the application, appeared before me, and acknowledged their signature.
- Signature of Notary Public: Minerva Vidot
- My commission expires: 02-15-2027
- Official Seal: Minerva Vidot, Notary Public, Paulding County, GA, Commission expires February 15, 2027
- PS Form 1583, June 2024 (Page 2 of 2) (7530-01-000-9365)
- Direct questions to: Retail, Chief Retail and Delivery Officer at CMRAprogram@usps.gov.
- This form is on the internet at www.usps.com.
Application for Delivery of Mail Through Agent
- See Reverse for Instructions, Definitions, Agreement Terms, and the Privacy Act Statement.
- 1. Private Mailbox (PMB) Information
- 1a. Date PMB Opened: October 12, 2025
- 1b. Date PMB Closed
- 2. Commercial Mail Receiving Agency (CMRA) Place of Business Information
- 2a. Street Address to be Used for Delivery: 4813 Ridge Rd Suite 113
- 2b. PMB #: 1195
- 2c. City: Douglasville
- 2d. State: GA
- 2e. ZIP + 4: 30134
- 3. Type of Service Requested
- X Business/Organization Use
- Residential/Personal Use
- 4. Name of Applicant
- 4a. Last Name: Dor
- 4b. First Name: Tania
- 4c. Middle Initial
- 4d. Telephone Number (include area code): (678) 794-7945
- 4e. Email Address
- 4f. Applicant's Street Home Address: 6517 Snowbird Ln
- 4g. City: Douglasville
- 4h. State: GA
- 4i. ZIP + 4: 30134
- 4j. Country: US
- 4k. Is applicant a court-ordered protected individual? Yes X No
- 5. Authorized Individual
- 5a. Last Name: N/A
- 5b. First Name: N/A
- 5c. Middle Initial: N/A
- 5d. Telephone Number (include area code): N/A
- 5e. Email Address: N/A
- 5f. Authorized Individual's Street Home Address: N/A
- 5g. City: N/A
- 5h. State: N/A
- 5i. ZIP + 4: N/A
- 5j. Country: N/A
- 6. If Transferring PMB Mail to Another Address
- 6a. Street Address Mail is Transferred To: 6319 Malone Rd
- 6b. City: Douglasville, GA, US
- 6c. State: GA
- 6d. ZIP + 4: 30134
- 6e. Country: US
- 6f. Telephone Number (include area code)
- 6g. Email Address
- 7. Business/Organization Information
- 7a. Name of Business/Organization: Shristania Braids LLC
- 7b. Type of Business: Beauty Salons
- 7c. Business Street Address: 6517 Snowbird Ln
- 7d. City: Douglasville
- 7e. State: GA
- 7f. ZIP + 4: 30134
- 7g. Country: US
- 7h. Telephone Number (include area code): +16787947945
- 7i. Place of Registration: N/A
- 8. Photo ID Information for Applicant
- 8a. Applicant's Name: Tania Dor
- 8b. Applicant's ID Number: R11725577
- 8c. Issuing Entity: Haiti
- 8d. Expiration Date on the ID: March 2, 2033
- 8e. Photo ID type (check one): U.S. State/Territory/Tribal Driver's or Nondriver's ID Card; Uniformed Service ID; U.S. Access Card; U.S. University ID Card; X Passport; Matrícula Consular; NEXUS Card; Certificate of Naturalization; U.S. Permanent Resident Card; Voter Card; Home or Vehicle Insurance Policy; Vehicle Registration Card
- 9. Address ID Information for Applicant
- 9a. Applicant's Name: Tania Dor
- 9b. Applicant's Street Home Address: 6517 Snowbird Ln
- 9c. City: Douglasville
- 9d. State: GA
- 9e. ZIP + 4: 30134
- 9f. Country: US
- 9g. Address ID type (check one) — Must Contain the Address in 9b-9f: X U.S. State/Territory/Tribal Driver's or Nondriver's ID Card; Current Lease; Home or Vehicle Insurance Policy; Mortgage or Deed of Trust; Vehicle Registration Card; Voter Card
- 10. Photo ID Information for Authorized Individual (if applicable)
- 10a. Authorized Individual's Name: N/A
- 10b. Authorized Individual's ID Number: N/A
- 10c. Issuing Entity: N/A
- 10d. Expiration Date on the ID: N/A
- 10e. Photo ID type (check one): U.S. State/Territory/Tribal Driver's or Nondriver's ID Card; Uniformed Service ID; U.S. Access Card; U.S. University ID Card; Passport; Matrícula Consular; NEXUS Card; Certificate of Naturalization; U.S. Permanent Resident Card; Voter Card; Home or Vehicle Insurance Policy; Vehicle Registration Card
- 11. Address ID Information for Authorized Individual (if applicable)
- 11a. Authorized Individual's Name: N/A
- 11b. Authorized Individual's Street Home Address: N/A
- 11c. City: N/A
- 11d. State: N/A
- 11e. ZIP + 4: N/A
- 11f. Country: N/A
- 11g. Address ID type (check one) — Must Contain the Address in 11b-11f: U.S. State/Territory/Tribal Driver's or Nondriver's ID Card; Current Lease; Home or Vehicle Insurance Policy; Mortgage or Deed of Trust; Vehicle Registration Card; Voter Card
- 12. Exceptions for Additional Recipients of Mail
- 13a. Signature of Applicant: Tania Dor
- 13b. Date: 10-28-25
- 13c. Signature of CMRA or Authorized Employee
- 14a. Date: 10-28-2025
- PS Form 1583, June 2024 (Page 1 of 2) (7530-01-000-9365)
- Direct questions to: Retail, Chief Retail and Delivery Officer at CMRAprogram@usps.gov.
- This form is on the internet at www.usps.com.
Timeline
Newcold
Forklift Operator
01.2026 - 09.2026Read More
Forklift Operator Pick and Pack Recieving
Rider Rockwell
03.2024 - 08.2025Read More
Amazon Associate
Pick and Pack
01.2022 - 11.2022Read More
Forklift Operator
Green Rabbit
02.2003 - 02.2024Read More
Snt Bernatte
High School Diploma
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