Vehicle Damaged? Yes
Fuel Level Adjusted? No
Missing Items? Yes
Event: LA AUTO SHOW
F/E Yes
B/E Yes
VIN: JF1ZNBM13S875003
Ext Color: Green
Odometer Front-End: 8
Odometer Back-End: 8
Stock# 29
Model: GR86
Body Style: 2 Door Car
F/E Fuel Level: 1/4
# Keys: 2
B/E Fuel Level: 1/4
# Fobs: 2
Added or Removed Items
Antenna: Remained
Floor Matts - Carpet: Remained
Floor Matts - Rubber: N/A-Arrived w/o
Knobs: Removed
# of knobs removed: 2
Shift Knob: Removed
Owners Manual: Removed
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: Removed
Bed Liner: No
Spare Tire: N/A-Arrived w/o
Tire Jack: Removed
Loose Tools, Hook: Removed
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: Remained
Cargo Mat Rubber: N/A-Arrived w/o
Items Bagged/Stored Pre-Show: Yes
Added/Removed Items Notes: None
Installed Uplift Items
NA
Missing Uplift Items
NA
Additional Comments:
None
Damage Photos
Damage Area
Severity
Dash/Instrument Panel
Broken (Except glass)
Over 3" /up to and including 6"
Frontend Inspection Date: 2024-11-21
Frontend Inspector's Name: Ed Castro
Backend Inspection Date: 2024-12-01
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: