Vehicle Damaged? No

Fuel Level Adjusted? No

Missing Items? No

Event: Chicago Autoshow

F/E Yes

B/E No

VIN: JTHB9JBH8R2078128
Ext Color: Silver[Iridium with Obsidian Roof]
Odometer Front-End: 14
Odometer Back-End: 14
Stock# 9
Model: UX
Body Style: 4 Door Sport Utility
F/E Fuel Level: Empty
# Keys: 2
B/E Fuel Level: Empty
# Fobs: 2

Added or Removed Items

Antenna: Remained
Floor Matts - Carpet: Removed
Floor Matts - Rubber: Remained
Knobs: Removed
# of knobs removed: 1
Shift Knob: Remained
Owners Manual: Removed
Cup Holder Inserts: Removed
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: Removed
Bed Liner: No
Spare Tire: N/A-Arrived w/o
Tire Jack: N/A-Arrived w/o
Loose Tools, Hook: Removed
First Aid Kit: Removed
Air Compressor: N/A-Arrived w/o
Tow Hitch Cap: N/A-Arrived w/o
Cargo Shade: Removed
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: Remained
Items Bagged/Stored Pre-Show: Yes
Added/Removed Items Notes: None

Installed Uplift Items

Roof rack

Missing Uplift Items

None

Additional Comments:

None
Frontend Inspection Date: Invalid date
Frontend Inspector's Name: Gregory Carter
Backend Inspection Date: Invalid date
Backend Inspector's Name: None
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: