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DTG OPERATIONS dba DOLLAR RENT A CAR 2401 Turnage Boulevard West Palm Beach, FL 866-434-2226 0000033 West Palm Beach Int! BANASI AK JANUSZ 358 EL BRILLO WAY PALM BEACH FL 33480 1270 FL 04/07/2012 ADD'L ORIVER: None * FL Surchg includes $2 FL St Srchg & .03 Recycle Fee Recv CREDIT CARD AUTHORIZATION/CASH DEPOSITS VI /*8eeeewen eee 8274 /050298/ 1066.00/A/1 561-818-8361 1/26/2005 VEH.#: 817622-1 LIC. #: W28GIS 05 NISSAN Rate: WALK Cls: CDAR FUEL LEVEL OUT: FULL MILEAGE OUT: 11230 STALLA: SENTRA 920001 CUSTOMER DECLINES LDW AND IS RESPON- SIBLE FOR LOSS OR DAMAGE PER TERMS OF THE RENTAL AGREEMENT. UMP DECLINED SLI ACCEPT @ 11.95/DAY 322.65 PPP DECLINED ESP DECLINED Est Optional Coverages 322.65 BY YOUR INITIALS YOU ACKNOWLEDGE YOU HAVE ACCEPTED OR DECLINED THE ABOVE OPTIONAL ITEMS: X CUSTOMER HAS NOT USED THE AIRPORT IN THE LAST 24 HOURS. WLK SMCKED/187 A per hour rate for late returns is charged right after the start of new Rental Day. 07/26/17 Page 2615 12/23/2005 1040 HH115484-5 TIME OUT TIME IN 11/26/2005 1048 **RENTAL RATES**® EST CHG Hours 12.00/ mls Days 24.99/ mls Weeks 124 .95/ mls 499.80 Xday 24.99/ mls Unlimitd mls VEH LIC FEE -47/Day 12.69 FLA SRCHRG* 2.03/Day 54.81 Fuel 5.99/gal STATE TAX 6.500% 36.87 Est Optional Coverages 322.65 **ESTIMATED CHARGES** 926.82 YOU ARE RESPONSIBLE FOR YOUR PARKING VIOLATIONS. IF YOU FAIL TO PAY YOUR TICKET(S), ANY UNPAID TICKETS), PENALTIES, PLUS A $25.00 FEE PER CITATION, WILL BE BILLED TO YOUR CREDIT CARD. X ESTIMATED/ACTUAL CHARGES MAY VARY Public Records Request No.: 17-295 DOJ-OGR- 00032928