Vehicle Damaged? Yes

Fuel Level Adjusted? No

Missing Items? Yes

Event: Auto show

F/E Yes

B/E Yes

Ext Color: Black[Ebony Twilight Metallic]
Odometer Front-End: 7
Odometer Back-End: 7
Stock# REL 5238
Model: Envision
Body Style: 4 Door Sport Utility
F/E Fuel Level: 1/8
# Keys: 1
B/E Fuel Level: 1/8
# Fobs: 1

Added or Removed Items

Antenna: Remained
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: Remained
Shift Knob: Remained
Owners Manual: N/A-Arrived w/o
Cup Holder Inserts: N/A-Arrived W/O
Headphones: N/A-Arrived w/o
DVD Remote: N/A-Arrived w/o
SD Nav Card: N/A-Arrived w/o
Charge Cord: N/A-Arrived w/o
Front License Bracket: N/A-Arrived w/o
Bed Liner: No
Spare Tire: Remained
Tire Jack: N/A-Arrived w/o
Loose Tools, Hook: N/A-Arrived w/o
First Aid Kit: N/A-Arrived w/o
Air Compressor: N/A-Arrived w/o
Tow Hitch Cap: N/A-Arrived w/o
Cargo Shade: Remained
Cargo Net: N/A-Arrived w/o
Cargo Management System: N/A-Arrived w/o
Cargo Mat Carpet: N/A-Arrived w/o
Cargo Mat Rubber: N/A-Arrived w/o
Items Bagged/Stored Pre-Show: Yes
Added/Removed Items Notes: None

Installed Uplift Items


Missing Uplift Items


Additional Comments:


Damage Photos

Damage Area


Black[Ebony Twilight Metallic] 2023 Buick Envision Fender LF Damage in Orange CA
Fender LF Damage

Less than and including 1"

Black[Ebony Twilight Metallic] 2023 Buick Envision Hood in Orange CA

Over 12"

Black[Ebony Twilight Metallic] 2023 Buick Envision Trim Panel/Front Left in Orange CA
Trim Panel/Front Left


Black[Ebony Twilight Metallic] 2023 Buick Envision Trim Panel/Front Right in Orange CA
Trim Panel/Front Right


Frontend Inspection Date: Wed Oct 04 2023 00:00:00 GMT-0500 (CDT)
Frontend Inspector's Name: Matt cullum
Backend Inspection Date: Sun Oct 22 2023 00:00:00 GMT-0500 (Central Daylight Time)
Backend Inspector's Name: Robert Thomas
Person receiving vehicle- Inspect vehicle before accepting possession. Take picture of any additional damage found and note damage and any additional missing items not captured on this form.
Vehicle Received by (Print Name): Date Received: