Code: GR-RA-P-02-F-02

FORMAT
PHYSICAL INVENTORY VEHICLE CONDITION Version: 02

freedom and Order

ANNEX 2
Ministry of the Interior Date: 30/04/2012
Republic of Colombia

Date
Inventory Number
DD MM AA

Reason:

Name of the person who delivers: Recipient's name:

CLASS BRAND TYPE MODEL PLATES COLOR

CYLINDER ENGINE NUMBER SERIAL NUMBER KILOMETER

FRONT REAR REPLACEMEN

RIMS
RIGHT LEFT RIGHT LEFT T
BRAND
REFERENCE
State State State
PARTS AND ACCESSORIES PARTS AND ACCESSORIES PARTS AND ACCESSORIES
Qty

Qty

Qty
B1 R1 M B R M B R M
Exterior Front Directional Siren
Emblems Reverses Heating
Blinds Rear Glass Tachometer
Front Defense Gasoline Tank Cap Cigarette lighter
Cocuyos Speedometer
Units Right side Gasoline Meter
Directional Side Glazing Temperature Meter
Handles Oil Meter
Engine Interior Locks
Battery Brand Cups Wheels Tools
Radiator Cover Cat
Oil cap Keys Cross brackets
Oil Dipstick Doors Tweezers
Fan Belts Ignition Levers
Whistles Trunk Screwdriver
Sirens Stars
Vehicle Interior Fixed wrenches
Upper Front Console Expansion Key
Panoramic Glass Radio Marca Mixed
Breeze Cleaner Arms Glove compartment Pliers
Breeze Cleaner Blades Door Insurance Men only
Radio Antenna Door Handle Spark plugs
Glass Handle Lamp (Batteries or Connection)
Left side Interior Light Start Cable
Side Glazing Cushioning Hazard warning signs
Handle Linings Triangles
Locks Mats Flashing Light Lamps
Cups Wheels Ashtray Vehicle Locking Plugs
Armrest Fire extinguisher
Stirrups Headrest
Law Radio telephone Others YES NO
Left Intercom Tanning Microchip
Rearview Mirror Parking Card
Rear Side Control Panel Property Card Photocopy
Emblems Ignition Switch SOAT
Rear Fender Front Light Switch Gas Certificate
Stops Brakes Parking Light Switch Vehicle Manual
Parking Lights Directional Shielding
Third Stop Pito First Aid Kit
REMARKS:
Previous inventory number: Date:
Delivered by: Received by:

Signature and Document No. Signature and Document No.