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HEARNAP — Part 35
Page 46
46 / 413
: OAKLAND
_ {415) 474-6611 OAKLAND AIRPORT
RENT-A- CAR. INC. LOS ANGELES AJRPOR
ELUS & SAYLOR $15. SAN JOSE
HOM OFFICE san PRANCISCO, CAUs oaron (4151 474-601) | OTHERS ya
VEMICLE po HCRNSEY, 4 [MAKE . BUSIVLE Uy
NO. (/ Y |no 19% hun TF Lf beter La “sr |
HOME.
4DOR ESS
ony
STATE
EMPLOYED
BY
STREET
ADORESS
DICENSE NO : a Vie
TERMS-RBEYERSE SIDE
PERMISSION 18 GRANTED TO-TA
VEHICUE OUT OF STATE Ove
OATE LICENSE
EXPIRES 7
CONTRACT Me
SIGNED__ __— DAY a
AGRO TIME RENT-A-CAR, ING. aNd REFER
ORRSIGNEO, HEREINAFTER REFERREG EE, T
ANG CONDITIONE. PRINTED BOTH say PAGE, A
LIMITATIONGD AND AESTRICTIONS O
4NO THE
ENTIAZ CONTRACT.
OF THIS VEMI
siGnen X& .
1 REQUEST PERMISSION
TO ALLOW
SIGNATURE OF
ORIGINAL LESSEE: ass\ a,
SELSISION PROTECTION | Ns
OW THE AMOUNT TO GE P
oct ta terms on reverse side.
FULL COVERAGE COLLISION
Xo *
OR
a3 @ Special condition of tris contract Lessee nereby a
any damages to third party by reason of this rental,
Signed & - es
CREDIT CARD
tapi
TERMS PRINTED BOTH OM THis a
“The.
ED
Insured with 2
ELLIS & FAYLOR
SAN FRANCISCO, cA 402 Fe. AIRPORT
oN a
UENO as
NS!
AND ro
IT 1S AGAEED ws A aC PRG
SUPRLIEO "C TH Os
iets tg. SN <1
ey,
$100.00 OEDUCTIBLE
| GRANCM OFFICES
N FRANCIS
DEPOSH
ADDITIONAL
DEPOSIT
MILEAGE IN
BME PHONE |
MILEAGE OUT
"MILES DRIVEN
ALTERN
Car No,
SAC
KE aA OR r
SATE .
) HICLE, VPON THE TERMS
cY . .
VE HEREOF ARE TC BE READ AS ONE
= N 2 MEDICAL COVERAGE WITH AENTAL
TO ORIVE VEHICLE [DRIVER'S
AMDLC ATED. LICENSE NO.
rees to pay Lessor for any damage to car rented or
ajacting any and ail Insurance provided by Lessor.
policy no.
| HEREBY AUTHORIZE THE USE OF MY
CREDIT CARD TO FULFILL MY
CONTRACTUAL OBLIGATIONS.
STATION COPY
rpm a= | OA DATE SN
.
Ae
Lacy =
eax
Orie
an
mr | fe SUB TOTAL
BY LEASE TO THE UN...
Mania fi & 11S PRR Day
MEMBER OF TIME.RENT-A-CAR !
NO:
DATE Out
MILES
HOURS
t
DAYS
WKS!
“-
nnn Cuan Ss
LARC!
\
7
4 PLAN CHARGES
CZ
q CT ATE TAX
{| M-cau
INS
COL LINIQN
PROTEC Tigam
GAS CHARGES _.
LESSOR ;
PERMISSION DAMAGES _
IN_AMOUNTS INDICATED BY PROPERLY INITIALING REPAIRS i
= Sioee ON THIS CONTRACT, on Rentors vehicle, only, LESS Gas :
‘$Z50.00DEDUCTIBLE OEDUCTIBLE WET BILL
xe _ = i BEFORE OEPOSIT ..
LESS DEPOSIT"
NET AMOUNT
COLLECTED _
NET AMOUNT
REFUNDED
DATE
REFUNO
REC'D BY
THANK YOU!
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