Truck runs, but only on two cylinders.
2019-03-24_03-25-30 by Ben Stryker, on Flickr
That black spacer is kinda necessary, and the fact that most of it's missing means the cap is tilted on the distributor. Therefore cylinders 1 and 2 don't get any spark because the rotor doesn't make contact. Problem is, nobody makes or sells that spacer anywhere.
This is going to be fun....