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HEARNAP — Part 36
Page 645
645 / 734
cae a
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2
_— BRANCH OFFICES
7 ELLIS @ TAYLOR. MEMBER OF TIME-RENT.A-CAR SYSTEM
SAN FRANCISCO
SAN FRANCISCO, CA 94102 1S.F. AIRPORT . . . soe .
OAKLAND
{415} 474-6611 OAKLAND AIRPORT . 0} g il 5 0 4
RENT- A-CAR. INC. LOS ANGELES & POR NO: CY
ELUS & TAYLOR STS. ; ty JOSE _
HOME OFFICE: SaN PRANCISCO, CAUF. oa102 (415) 474-65)! y «OTHERS A, ATE IN vine aw
VEMICLE fi Lic
NO
g VEC7AZ
=b% —2_
Zi os - cS 7 400), TONAL
WOME = -p- . —— A DePOSIT ao
ADDR fol o-, MILEAGE IN
eo C7
cirr
EMPLOYED .
BY MILES DRIVEN at a ig
STREET Cit¥ STATE to .
tn
NTER :
RENTE ry
ADORESS
DRIVER'S TE
" LICENSE NO. 2p) B69
yee
DATE Eee =
EXPIRES
in hee: K
TERM Oe REYERSE SIDE] © a
a LES a ee ACCEPTS AL aN
eeau big 1S GRANTED TO,TA x L&E
WENN Gut OF STATE Ove nO oe
AERO TIME RENT-A-CAR, INC. AN Se EF ERE S\, (eal 2 wkey LEASE TO THE UN:
DERSIGNED, MEREINAF TER REFERRED SL ESTLE. T RIB "2: MICLE, UPON THE TERMS ! —
an CONDITIONS. PRIN EO BOTH CG PaGE, AME nee , fo SUBJECT TO THE TERMS. o .
LIMITATIONS AND RESTRICTIONS © GOH IABItgFY NS Syed POMC FR oe THE MEVERSE MEREOF, | COLLISION |
AND TE TERMS PRINTED BOTH ON THIS Bas te Cy HEREOF ARE TO GE AEAD AS ONE ROTECTION”_
ENT\AE CONTRACT. IT 15 AGALED THAT R © ki PEAS 0; NS MEDICAL COVERAGE WITH MENTAL —_
OF THIS VEHIC oN LIED Bay a
RRO 7
SIGNED ain JOANN Sey a i, i 4
2 REQUES ’ ee TO DRIVE VEHICLE [DRIVER'S
TOALILD we ; we INDICALED LICENSE NO.
ORIGINAL LESSEE: a ea OR SION
COLLISION PROTECTION (Q\UEF FERED iN AMOUNTS INDICATED @Y PROPERLY INITIALING REPAIRS an
SELOW THE AMOUNT TO SE PHUVIDED ON THIS CON RACT, on Rentors vehicle, only, LESS GAS
subject to terms on reverte side, .
FULL COVERAGE COLLISION $ 100,00 DEDUCTIBLE 250 CTIBLE: DEOUCTIBLE
x
Gas CHARGES
DAMAGES
WET BILL
BEFORE DEPOSIT
eee x
OR ,
as @ special condition of this contract Lessee hereby agrees to pay Lessor tor any damage {0 car ranted or
aoy damages to third party by reason of this rental, Rejecting any and all (nsurance provided by Lessor.
NET AMOUNT
Signed * Ud WT pr one Policy no. COLLECTED
CREDITCARD _ | HEREBY AUTHORIZE THE USE OF MY NET AMOUNT [|
CREDIT CARD TO FULFILL MY REFUNDED
CONTRACTUAL OBLIGATIONS.
LESS DEPOSIT
DATE AMT
REFUND
REC D BY
THANK YOU!
SEL
ORIGINAL INVOICE sft /- Yor
TE er TE SR = gras a aaliiiae seer
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