Vehicle Damaged? Yes

Fuel Level Adjusted? No

Missing Items? No

Event: Auto show

F/E Yes

B/E Yes

Ext Color: Blue[Sapphire Metallic]
Odometer Front-End: 7
Odometer Back-End: 7
Stock# REL 2162
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: No
Added/Removed Items Notes: None

Installed Uplift Items


Missing Uplift Items


Additional Comments:

Missing paint key on dashboard None

Damage Photos

Damage Area


Blue[Sapphire Metallic] 2023 Buick Envision Cargo Area in Orange CA
Cargo Area

Broken (Except glass)

Blue[Sapphire Metallic] 2023 Buick Envision Seat Row 2 Left in Orange CA
Seat Row 2 Left

Interior Stained, Soiled

Blue[Sapphire Metallic] 2023 Buick Envision Seat Row 2 Right in Orange CA
Seat Row 2 Right

Interior Stained, Soiled

Blue[Sapphire Metallic] 2023 Buick Envision Dash/Instrument Panel in Orange CA
Dash/Instrument Panel

Missing (Except Moding,Emblem)
Missing/Severe Damage

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: