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ORIGIN DESTINATION
Copart VA Danville - Yard 82 RESIDENCE OF ANNA LOU SHELTON
12360 US Hwy 29 202 Lakeview Drive
Chatham, VA 24531 Beckley, WV 25801
Contact: office Contact: office
Phone: +1 (434) 473-6372 Phone: +1 (804) 551-1346
Inspection notes:
BR – Broken NO INSPECTION
CH – Chipped DAMAGE MARKINGS
CR – Cracked
D – Dented
F – Faded
FF – Foreign Fluid
FT – Flat Tire
G – Gouge
HD – Hail Damage
LC – Loose Contents
M – Missing
MD – Major Damage
MS – Multiple Scratches
O – Other
PC – Paint Chip
R – Rubbed
RU – Rust
S – Scratched
SC – Scuffed
I agree with the Driver's assessment of the Vehicle received in good condition except as
condition of this vehicle. noted above.
Origin Signature / Apr 30, 2024 / Levan Destination Signature / Apr 30, 2024 / office
Driver Signature / Apr 30, 2024 / levan giorgadze Driver Signature / Apr 30, 2024 / levan giorgadze