Vehicle Damaged? No

Fuel Level Adjusted? No

Missing Items? No

Event: Electrified Expo

F/E Yes

B/E Yes

VIN: JTJABABB1RA004081
Ext Color: Black[Caviar]
Odometer Front-End: 15
Odometer Back-End: 70
Stock# 10
Model: RZ
Body Style: 4 Door Sport Utility
F/E Fuel Level: Full
# Keys: 2
B/E Fuel Level: 1/2
# Fobs: 2

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: Remained
Cup Holder Inserts: Remained
Headphones: N/A-Arrived w/o
DVD Remote: N/A-Arrived w/o
SD Nav Card: N/A-Arrived w/o
Charge Cord: Remained
Front License Bracket: N/A-Arrived w/o
Bed Liner: No
Spare Tire: N/A-Arrived w/o
Tire Jack: N/A-Arrived w/o
Loose Tools, Hook: Removed
First Aid Kit: Remained
Air Compressor: Remained
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: Valet card remained

Installed Uplift Items

None

Missing Uplift Items

None

Additional Comments:

None
Frontend Inspection Date: Invalid date
Frontend Inspector's Name: Robert Sanders
Backend Inspection Date: Invalid date
Backend Inspector's Name: Moe
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: