THIS IS A 2004 FORD E-350 AMBULANCE WITH 6.0 POWER STROKE DIESEL ENGINE. ENGINE RUNS STRONG AND TRANSMISSION SHIFTS SMOOTHLY. NO KNOWN MECHANICAL ISSUES. INTERIOR IS IN EXCELLENT SHAPE, BOTH CAB AND BOX. EXTERIOR PAINT HAS ISSUES INCLUDING OXIDIZED PAINT ON THE HOOD AND ROOF OF CAB. PAINT ABOVE DRIVERS SIDE REAR WHEEL WAS DAMAGED FROM DECAL REMOVAL. DRIVER"S SIDE OF BOX HAS SCRATCHES IN PAINT AT THE TOP AS SEEN IN THE PICTURES. EMERGENCY LIGHTS IN SAME LOCATION WERE DAMAGED BUT CAN BE REPLACED IF BUYER NEEDS THEM.