Vehicle Damaged? No
Fuel Level Adjusted? No
Missing Items? No
Event: Chicago auto show
F/E Yes
B/E Yes
VIN - 1G1FX6S06N4100005
Ext Color: Blue[Ice Blue Metallic]
Odometer - 1094
Stock# 3
Model: Bolt EV
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: Remained
Shift Knob: N/A-Arrived w/o
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: 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: N/A-Arrived w/o
Items Bagged/Stored Pre-Show: Yes
Item Bag Replaced: Yes
Added/Removed Items Notes: None
Installed Uplift Items
None
Missing Uplift Items
None
Additional Comments:
None
Inspection Date: 07-13-2021
ShowFleet Inspector: Dylan price
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: