- Documented from Nickey Chevrolet
- Bloomington Gold survivor in all 4 categories
- Nassau Blue with Blue interior
- L78 396/425 HP
- 4-speed transmission
- AM/FM radio
- 4.11 positraction axle
- Transistor ignition
- Original wheels with WSW tires
- 69,249 miles believed to be original
- Original Protect-O-Plate, sales order form, sales invoice, receipts from dealership
- Unhit body, original glass
- Only 2,157 396/425 HP Corvettes produced