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2. Vehicle ID (last 4 of vin)*
3. Department & Contact Person*
5. Pictures of vehicle will be provided

   1. Yes
   2. No
6. Contact number(s)*
7. Minimum bid amount $*
9. Year / Make / Model *
10. Mileage*
12. Vehicle*
    -- Select One --StartsStarts with a boostRunsDoes not runUse for Parts Only
13. Engine type*
    -- Select One --GasDieselOther (Electric, or Flex)
14. Vehicle regularly maintained?*

    1. Yes
    2. No
16. Engine condition*
    -- Select One --RunsRepairs neededUnknown
17. Explain: what type engine & what repairs are needed
19. Maintenance Records
    -- Select One --AvailableNot available
20. Transmission*
    -- Select One --AutomaticManual
21. Date taken out of service
23. Transmission condition*
    -- Select One --OperatesRepairs neededUnknown
24. Explain: transmission repairs needed?
26. Interior *

    1. Cloth
    2. Vinyl
    3. Leather
27. Interior Color*
28. Interior Damage (if major include picture)
30. Radio condition*

    1. AM
    2. AM/FM
    3. AM/FM Cassette
    4. AM/FM CD
31. Air Conditioner*

    1. A/C works
    2. No A/C
    3. Condition unknown
    4. Needs repair
32. Air bags*

    1. Drivers side
    2. Dual bags
36. Features*

    1. Cruise control
    2. Tilt Steering
    3. Remote Mirrors
    4. Climate Control
37. Power*

    1. Doors
    2. Steering
    3. Seats
    4. Windows
38. Date/time submitted*
    Date/time submitted

    Date/time submitted
40. Exterior*

    1. Minor Dents/Dings
    2. Major Dents/Dings
    3. Decals removed
    4. Decals remain
41. Windows*

    1. In good condition
    2. Cracked window(s)
42. Tires*

    1. In good condition
    2. Low or flat
    3. Hubcaps all present
    4. Hubcaps 1 missing
    5. Hubcaps 2+ missing
43. Emergency equipment*

    1. Removed successfully
    2. Holes in interior
    3. Holes in exterior
45. Provide pictures of exterior & interior of vehicle
    Take pictures of both sides, front & rear of exterior and inside the trunk. Take pictures of dash, seats, floor and damages to interior. Turn tags in to the County fleet manager.
46. Name of contact if questions arise
48. Location of vehicle*
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50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

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