Vehicle Damaged? Yes

Fuel Level Adjusted? No

Missing Items? No

Event: Seattle auto show

F/E Yes

B/E No

VIN - JTDAAAAAXMA000134
Ext Color: Blue
Odometer - 1
Stock# 31
Model: Mirai
Body Style: 4 Door Car
F/E Fuel Level: Empty
# Keys: 1
B/E Fuel Level: Empty
# Fobs: 1

Added or Removed Items

Antenna: Remained
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: N/A-Arrived w/o
Shift Knob: Removed
Owners Manual: N/A-Arrived w/o
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: 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: N/A-Arrived w/o
First Aid Kit: N/A-Arrived w/o
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
Item Bag Replaced: N/A
Added/Removed Items Notes: Missing back left passenger side carpet floor mat

Installed Uplift Items

None

Missing Uplift Items

None

Additional Comments:

None

Damage Photos

Damage Area

Severity

Blue 2021 Toyota Mirai Qtr Panel/PU Box Damage in Orange CA
Qtr Panel/PU Box Damage

Decal-Paint Stripe-Damaged-Fluid Spill-Exterior
Warranty Issue

Inspection Date: 11-09-2021
ShowFleet Inspector: 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: