EFTA00306122.pdf

Prepaid Car Rental Voucher Hertz AMERICAN EXPRESS TVL SVC Please submit this voucher at time of rental. Customer Name Fax Phone:800-654-3001 From Hertz International Fax: 405-775-6770 Rental Information Car Class: GROUP M CLASS Res ID: Example: MERCEDES C180 GPS 2.0 OR SIMILAR #1 Club: Transmission: AUTOMATIC Air Conditioning: YES Equipment: Rental City: WARSAW Location: FRYDERYK CHOPIN AIRPORT Address: ZWIRKI I WIGURY 1 STREET Telephone: 22 6502896 Return City: WARSAW Return Location: FRYDERYK CHOPIN AIRPORT Address: ZWIRKI I WIGURY 1 STREET Telephone: 22 6502896 Pick Up Date: 18 JUL 2014 Pick Up Time: 01:30 PM Flight: LO 0027 Return Date: 15 AUG 2014 Return Time: 01 :00 PM Rate Information IT Number: Rental Rate: 10635.02 PLN The details of your28 day(s) rental are listed below. Less Adjustment: Rate Plan/Tariff: AOF TIC Prepayment: 3493.72 USD Your Prepaid Rate Includes: Your Prepaid Rate Does Not Include: Unlimited MI/KM Loss/Collision Damage Waiver (LOW/COW) Theft Protection Value Added lax Airport Service Marge/location Surcharge Refueling Personal Fffeas Coverage (Check avai lability at counter) Drop Charges if applicable Any Optional Services not listed as included l iability Protection to the Country's l imits Nonwaivable Fxcess Vehicle Registration Recovery /Vehicle Lic Fee Remarks: PREF AUDI A4 VEH 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 ConnorsirencealOy srtit OMR. Minns *ha ',rib,' nOl Dens tro sated in me papas wanner 9 All fenlith Ne uAteti tonere, scandals tam) adndrAWS 01100 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