Vehicle Damaged? No

Fuel Level Adjusted? No

Missing Items? No

Event: Providence AS

F/E Yes

B/E Yes

VIN: 5TDDSKFC4RS118927
Ext Color: Red[Ruby Flare Pearl]
Odometer Front-End: 67
Odometer Back-End: 67
Stock# 10
Model: Sienna
Body Style: 4 Door Mini-Van Passenger
F/E Fuel Level: Empty
# Keys: 2
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: 2
Shift Knob: Remained
Owners Manual: Removed
Cup Holder Inserts: Removed
Headphones: Removed
# of HEADPHONES removed: 2
DVD Remote: Removed
SD Nav Card: N/A-Arrived w/o
Charge Cord: N/A-Arrived w/o
Front License Bracket: Removed
Bed Liner: No
Spare Tire: Remained
Tire Jack: N/A-Arrived w/o
Loose Tools, Hook: N/A-Arrived w/o
First Aid Kit: Removed
Air Compressor: Removed
Tow Hitch Cap: N/A-Arrived w/o
Cargo Shade: N/A-Arrived w/o
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

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: