You are looking at an incredibly low mileage ambulance. My company acquired this vehicle from a local ambulance service that we did contract work for. We wanted to use it for marketing but we just don"t use it enough to justify. It was purchased as a back-up unit and was rarely used. It is in amazing condition. It has the original 7.3L Powerstroke engine that runs great. Has no known issues. I replaced a few of the tires when we got it and the others are in very good condition. Please contact me with any questions at 317-670-6397