Vehicle Damaged? No
Fuel Level Adjusted? No
Missing Items? Yes
Event: Texas state fair
F/E Yes
B/E Yes
VIN: 5G21A6P03P4116285
Ext Color: White
Odometer Front-End: 8168
Odometer Back-End: 8168
Stock# R8
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: N/A-Arrived w/o
Floor Matts - Carpet: N/A-Arrived w/o
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: N/A-Arrived w/o
Shift Knob: N/A-Arrived w/o
Owners Manual: N/A-Arrived w/o
Cup Holder Inserts: N/A-Arrived W/O
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: 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: No
Added/Removed Items Notes: Na
Installed Uplift Items
Na
Missing Uplift Items
Na
Additional Comments:
Na
Frontend Inspection Date: 2024-09-24
Frontend Inspector's Name: Susan
Backend Inspection Date: 2024-10-20
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: