EFTA00306122.pdf

Hertz Prepaid Car Rental Voucher AMERICAN EXPRESS TVL SVC Please submit this voucher at time of rental. Customer Name Fax From Phone:800-654-3001 Hertz International Fax: 405-775-6770 Rental Information Res ID: #1 Club: Rental City: Location: Address: Telephone: Pick Up Date: Pick Up Time: WARSAW FRYDERYK CHOPIN AIRPORT ZWIRKI I WIGURY 1 STREET 22 6502896 18 JUL 2014 01:30 PM Flight: LO 0027 Car Class: Example: Transmission: Air Conditioning: Equipment: Return City: Return Location: Address: Telephone: GROUP M CLASS MERCEDES C180 GPS 2.0 OR SIMILAR AUTOMATIC YES WARSAW FRYDERYK CHOPIN AIRPORT ZWIRKI I WIGURY 1 STREET 22 6502896 Return Date: 15 AUG 2014 Return Time: 01 :00 PM Rate Information Rental Rate: The details of your28 day(s) rental are listed below. Less Adjustment: Rate Plan/Tariff: AOF TIC Prepayment: IT Number: 10635.02 PLN 3493.72 USD Your Prepaid Rate Includes: Unlimited MI/KM Loss/Collision Damage Waiver (LOW/COW) Theft Protection Value Added lax Airport Service Marge/location Surcharge l iability Protection to the Country's l imits Vehicle Registration Recovery /Vehicle Lic Fee Remarks: PREF AUDI A4 VEH Your Prepaid Rate Does Not Include: Refueling Personal Fffeas Coverage (Check avai lability at counter) Drop Charges if applicable Any Optional Services not listed as included Nonwaivable Fxcess The above items must be paid In local currency at time of rental. Prepayment has been charged to customer's American Express account. TerrnsandCondMons I Prepaid V s Ocala. Pate, are ',rani ....au antaDie an* arra to cnrynanno sm Any .4. .n ptonetpcnar cant 2 Pine exclude bib hen bad, * and diallOnal lealAnwOefalcidonto tenon soma, (Am sews alobcriai or.., Woo Apace f as Of *new ay croarews her sewn VW AnitamayOw m1006%44 E Wafted ferny's (amid De MOOD I X Clete°. mv al be DSO in< MD Y tni• at rerRO in bra, Mnentl, 3 n 1 On* (whines. a fonwanatit amount nay Ip i Ott carts ItOlen of damaged Chang an awl Itted hell de vi/.AIWA Alla.. lane COuntnell. • nen. WARD* *ADAM SW Maly • Ow en cause C0N: Mull, Da an aCowleS • AM(Mr,loll. aewnsOnn Mal walleallfe reWal a And tenure mat a new wovotet De Asunta C.w.o.( repine° Me ref...sow of a Nord touch. now to made al Walla Pews PM, In oepaehfre from Me VS Charberi A weep Vie eensue d• mei< yawn,. n utt De made it len la day. poor lo /AA. f nos me us natant) amirest irate me no •rtnintreNe charges go, Changes ha Me KAKI'S Checevenns vat he We wiled Its .100,10 0)24 now, n ADance et prig insects ...ay • OeXelnewn lee may be applied • resewallln Man 24 Mom in Mince of pck to en DWA els aof LaDn ADAK ha a[ D. and Camatean awitnWAYA P* AMOS tan De Dawn on wstie0 vaki(nel tOlDenneten a Cleve renal day mane A Mal V&A ner nen- leanseeiable 5 No ateept wit be ALL. wed Ow wow Kr has teen Turned la aleftl Anti Irte renal Ode. 1 cleat w• De Owen On WS'S,. WV0Wax of waned ladabOns d.Operen 6 V newel rental age vanes from country ID (DOW 4. 0 May ant wry try tar croup thiwung to unction, vary Troy) m oney to (Dowry and may bno li ly tot tie VOW (nleaV Theca AM Who trawl (Onyx( leg H Mc tel 'piece's) 7 Standard renal dual:traces and rens peroci MAMMA. a0Paf O driven mut: nine a owe waters Wenn n oiled roe at DWI one twat prof to feral dote and peewit 4 to fiery at me comaentry. Cry Or VW nt,' iniemittsanal Cwattnp Perm. may SW be fecund A van's°. a PO onlett Ca Pee dentreies. Cad wtrhwess non *Ping letPDP! ,lit De cryWaled all's:~ 'mute Connors irencealO y srtit OMR. Minns *ha ',rib,' nOl Dens tro sated in me papas wanner 9 All fenlith Ne uAteti tonere, scandals tam) adndrAWS 01 100 HIM Dental AgMeMeell ore,: acme sod pine of fonts 10 Only a (3f classigmwa A Cannon to Spec PH Maktmoodel reetertryea are suberyt be awatadabf al low a weal II Defeat day, We Dated eel 24 nary ponces commenc op at we a Wit up Addttonal clain . 4, add./ la renal fa xeDI (anew wan 10!( 060 lnanann la Days Der after 29 n nate OW( Penen IN as be GINO at a 1190a rate ) 12 I ass pederast A wand* al partici:WON fdleanWaDdan 19 Tatra potty 'goat( nuance coverage ecwil to th* applitaale Wale Airof6.03 limits A nry.ord Secondary. mew* aptaic wait 11 vmonlary boerade we DeCharged al ix SO 'DVS Ow rates wedins Iwo wont. EFTA00306122