Vehicle Damaged? No

Fuel Level Adjusted? No

Missing Items? No

Event: Electrify NY

F/E Yes

B/E Yes

VIN: JTJCJMGA5R2021585
Ext Color: Blue[Nightfall Mica]
Odometer Front-End: 49
Odometer Back-End: 127
Stock# 9
Model: RX
Body Style: 4 Door Sport Utility
F/E Fuel Level: Full
# Keys: 2
B/E Fuel Level: 3/4
# Fobs: 2

Added or Removed Items

Antenna: Remained
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: Remained
Shift Knob: Remained
Owners Manual: Remained
Cup Holder Inserts: Remained
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: Remained
Bed Liner: No
Spare Tire: Remained
Tire Jack: Remained
Loose Tools, Hook: Remained
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: Remained
Cargo Net: N/A-Arrived w/o
Cargo Management System: N/A-Arrived w/o
Cargo Mat Carpet: Remained
Cargo Mat Rubber: N/A-Arrived w/o
Items Bagged/Stored Pre-Show: No
Added/Removed Items Notes: None

Installed Uplift Items

None

Missing Uplift Items

None

Additional Comments:

None
Frontend Inspection Date: 2024-10-11
Frontend Inspector's Name: Colton Coleman
Backend Inspection Date: 2024-10-13
Backend Inspector's Name: Ck
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: