EFTA00308098.pdf

Hertz Prepaid Car Rental Voucher AMERICAN EXPRESS TVL SVC Please submit this voucher at time of rental. Customer Name Fax From hone: Hertz International Fax: Voucher Number ACCOUNT : Rental Information Res ID: #1 Club: Rental City: Location: Address: Telephone: Pick Up Date: Pick Up Time: WARSAW FRYDERYK CHOPIN AIRPORT DARK! I WIGURY 1 STREET 19 AUG 2014 12:50 PM Flight: LO 0027 Return Date: Return Time: Car Class: Example: Transmission: Air Conditioning: Equipment: Return City: Return Location: Address: Telephone: GROUP K CLASS OPEL INSIGNIA 2.0 OR SIMILAR AUTOMATIC YES WARSAW FRYDERYK CHOPIN AIRPORT 30 AUG 2014 05:00 PM RY 1 STREET Rate Information Rental Rate: The details of your12 day(s) rental are listed below. Less Adjustment: Rate Plan/Tariff: A0F2tiC Prepayment: IT Number: 4718.62 PLN 1505.24 USD Your Prepaid Rate Includes: Unlimited MI/KM Loss/Collision Damage Waiver (LOW/COW) Theft Protection Value Added Tax Airport Service Charge/Location Surcharge Liability Protection to the Country's Limits Vehicle Registration Recovery /Vehicle Lic Fee Remarks: Your Prepaid Rate Does Not Include: Refueling Personal Effects Coverage (Check availability at counter) Drop Charges if applicable Any Optional Services not listed as included Nonuaivable Excess The above items must be paid in local currency at time of rental. Prepayment has been charged to customer's American Express account. Tetras and Conditions I Plead US 0411,1 Pales ale emery marled.inane and canna be can ante one any Orel prantecinal offer 2 Pate5 extUdie One snoen at/We 310 10 0 041lessellrg 01 .00tonal WerIt*S Sad n ds end seas. akI0Cnel gvll 'de S. i.090) WKS OrOnrseao dronestrrencn **Calm ay IP tars)OnSIDIO EXCere0 ItniCe3 Carnet be repair r 'teener) mug be pad local)/ a brie of erne in local carter," in some mimes.. noneavaoa amount mye*a/d me or yam or eanageo anng an arlffiffell0 ref) V remains. A10.4 90e e commas.. rola soave amour( may anov r re car causes r cermo.nrs le 3ri etodert 4 Ally Charles Lone rtimalsee nine impel no 'Runt chants and sedum mat New eoserei be sewed Cellar/. uffestmil on (enhance Iff • ffullff mff can mull mere ol Meng bran mot lo depreure Rom u Comps re twang re tenure crannied vaunter nun be made glean 14 days pace to depanote nom nein. mama address Mere ale ao aorterarelia charges rot 011630)113 Cne Muter CanCellatenS .11 Dt atcabman( a relied up 002: nOub n aChtif OCk nova Penally A C 016010 sun mat Off apnea I toren-man 6 anted/30 *SS Pan !A noses adrante Of seek WOO 0001019510l1-106 Anent b.f.( ti CO. an) CantOrdu OPSTflelffeli nertres can be issota on nano rrilner pOnlOnS ene• a onerata day novoum IS met voxner e rue- MOOD! I No credilell De Jested wed be soarernos teen retuned to Per After Pe rental dee. re croft lel be nver on wined vouchen or unused pcnons et woe nen 4 Mein um mile age vanesUm ciente/ to tombs and may oho nary by car ;row Deane teen Ibin vary non country b totally and nay Maoraw be car group (Pease coed. wet your brawl (Onsullanl tit Melee SWIM I ) Standen rents prealcatece and renal paled leen( nen tool/ i Al OiserS 41 ust na. a Yaw toners leen* n MOM, al ItaSlOn year Ono le elan Ole and DPW)! It 0) net Zff MP (CM nenteniere 0101. fetal An lotemblOnalCillunff ;soma may also oe ledure0 A VVO re01 one or tiara Casn Depose aerate** teed *Men ell regret mama a aeon reva te risen,, are One Cr Penn t000rer any reastna)4 am., mew moan *tan nee 101 teen Amain n me renao mann a Al meals are "Affect la Herr alert:lard arms L earestna ol the Meet, Renal Arendt., n tiled eine aid II olmns 10 Only • en cliaterro It Kadenel apron nieleanotial reireirees ere subiectlo tannery el int dr tante II Penni dap at lamed co 24 lia./Ipentilf CST lberiCII4 al tole cr pc. up Adds.:inndays will apple a reseals rept Knee, inn apeClIlel (ACM balal ear aeon alter 29 mite gale petal rid Oil be Oiled at a nigher ra I 12 Tres CrOjrall *avant)* at Dartmoor° coesaocaom 13 Tetra Dan llaiµy rediffirCe coverage egua as the amincana fire Instrntal let, is maned Secormary. ewe antra Me Id VOluitary ..41(ffedeS oil Pe Crelbee al nolo *can* ran VAara ran X.11GiCe EFTA00308098