Vehicle Damaged? No

Fuel Level Adjusted? No

Missing Items? No

Event: Providence A.S.

F/E Yes

B/E Yes

VIN: JTDACACU8R3014398
Ext Color: Blue[Reservoir Blue]
Odometer Front-End: 6
Odometer Back-End: 6
Stock# 3
Model: Prius Prime
Body Style: 4 Door Station Wagon
F/E Fuel Level: Empty
# Keys: 1
B/E Fuel Level: Empty
# Fobs: 1

Added or Removed Items

Antenna: Remained
Floor Matts - Carpet: N/A-Arrived w/o
Floor Matts - Rubber: Remained
Knobs: Removed
# of knobs removed: 1
Shift Knob: Removed
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: Removed
Front License Bracket: Removed
Bed Liner: No
Spare Tire: N/A-Arrived w/o
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: Remained
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

None

Missing Uplift Items

None

Additional Comments:

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