This 4x4 rig is a beast & is a real head turner. At 219,387 miles, the 7.3L Diesel engine is just getting broken in & with proper maintenance should last for a long time (mileage will increase with use). MPG is between 11-14 mpg . This former ambulance was professionally converted in 2016. Video attached if from previous owner.Since my purchase, the following repairs were completed by professional diesel mechanics with experience repairing ambulances:Fixed the E450 ACChanged the rear brakesReplaced the rear brake caliper (left rear)Webasto Heater serviced Replaced the Dash bulbsChanged the Air Filters/oil filter/fuel filter/Oil as needed Replaced Front Transfer Case sealReplaced Fuel Injector HarnessReplaced Power Steering PumpReplaced high pressure Power Steering hosePerformed Power Steering fluid flushReplaced 3 maker lights Rear platform addition (removable to convert to original motorcycle carrier)Full bumper to bumper mechanical inspection 12/21Information from previous owner:Agile Off-road 4x4 conversion (over 15k to convert, invoice available) Interior-front cab:EGT gaugeTransmission Temp gaugeCoolant Temp gaugeShift on fly 4x4 Bluetooth StereoElectric trailer brakes controlPhP programmable HydraChipCruise ControlUpgraded Turbo/Cooling System Parts $4K (with invoices)Interior - rear box:Interior height 69.5-70“Tri-Fold bed to full or queen sizeTwo burner propane StoveNova Kool RFU8000 6.9cu ft 2 way fridge/freezer30 gallon water tankHot/cold running water sink with faucet30 gallon gray water tankFull indoor shower w 6’6” height (with hot and cold water)Webasto Diesel heaterLED lightingRooftop Air Conditioner2 Maxxair fansPass thru door with sliding security boltsSliding pantryMagnetic bug screens on all doorsMicrowave5 110v outlets6 12v socketsElectrical:Professionally installed Solar system (5k invoices available)LED headlights30” LED curved front light barShore power hookup2 Group 27 starting batteries3 deep cycle AGM batteries (120 ah each)1500W GoPower InverterOnboard Air compressorExterior:Alumimess Front Bumper with brush guard ($2500)10,000lb Warn Winch mounted in bumper with remoteCustom Rear bumper with motorcycle platformThule rooftop boxCustom over cab tire carrierStainless steel custom made security screens on all windows of the ambulance boxAwningProfessionally installed RV propane tank with gauge