Vehicle Damaged? No

Fuel Level Adjusted? No

Missing Items? No

Event: Sema

F/E Yes

B/E Yes

VIN: 9999
Ext Color: Green
Odometer Front-End: 0000
Odometer Back-End: 000
Stock# 25
Model: Chassis-Cabs
Body Style: N/A
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: Remained
Owners Manual: Remained
Cup Holder Inserts: Remained
Headphones: N/A-Arrived w/o
DVD Remote: Remained
SD Nav Card: N/A-Arrived w/o
Charge Cord: Remained
Front License Bracket: N/A-Arrived w/o
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: 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: None

Installed Uplift Items

Awning, mud racks

Missing Uplift Items

None

Additional Comments:

This is Patriot camper
Frontend Inspection Date: 2024-11-04
Frontend Inspector's Name: Mike Boesch
Backend Inspection Date: 2024-11-08
Backend Inspector's Name: Robert Sanders
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: