HomeMy WebLinkAbout95-01007
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NOTICE OF APPEAL
COMMONWEALTH OF PENNSYLVANIA
COURT OF COMMON PLEAS
FROM
JUDICIAL DISTRICT
DISTRICT ,IUSTlCE JUDGMENT
09-3-04
td)n Prothv's Office 2-27-95 JHS
COMMON PlEAS No. 95- 1007
Civil Ttlrm
r."l
NOTICE OF APPEAL
NotlC!! IS !lllJell 'hat;l!.l~ JI1pella1lt has filed ill the ahove Court of Common Picas an appeal from the judgment rendered by the District Justice
on the daw ,lilt! III thttJiasc mc~tioned below.
t._
"'''G. OIl'. NO. 0.. ""w. or D.'.
iiiii'iOl"A:ioio.LLA"I' ~...
,...-
Enterprise:~ent-A-Car
"00"'.' Of' ",.P.LL.....T~
6395 Carlisle Pike
09-3-04
CITY
"AT.
a... ccula
Mechanicsburg
PA
17055
0"'" 0" IUI;UU".HT
IN 'H' C..... 0.. "',,..,."!
,..".,q..."
2-10-95
Enterprise Rent-A-Car
Department Stores Company
CI,.AIM NO.
T 0" "oa'"
TA 19 CV-428-94
LT 19
This hlock will be signed ONLY when this notation is rC{luircd under Pol.
R.CY.J.P. No. 10088,
This NotiCl' of Appeal, when received hV the District Justice, will operate as
a SUPERSEDEAS to the judgment for possession in this case.
If a pel/alii W.1S Claimant Isee Pa. R.C.P.J,P,
No. 1001(6/ in actioll be(ote District Justice. lie
MUST FILE A COMPLAINT witllin tWeIlty (20/
"ays after (iling I1is NOTICE o( APPEAL.
S'91WfUffJ of PlOthonorarv or Deputv
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
(Tllis section o( (om, to be llSed ONL Y wben appel/ant was DEFENDANT (see Pa, R. C'p,J, P. No, 1001(7) in action before District Justice.
IF NOT USEO. ,Ietac" (rom copy o( notice o( appeal to be served 111'011 appel/ee/.
PRAECIPE: To P,othonotary
Enter rull! upon
. appellce(s). to file a complaint in this appeal
(Common Pleas No.
Namo of appe/lee(sJ
) within twenty (201 days after service of rule or suffer entry of judgment of non IUOS.
Signature of appellant or his attornov or agent
RULE: To
. appellee Is)
Name of appelleelsl
III You are notified that a rule is hereby cntered upon you to file a complaint in this appeal within twenty (20) days after the date of
service of this rule upon you by personal service or by certified or registered mail.
(21 If you do not file a complaint within this time. a JUDGMENT OF NON PROS WILL BE ENTEREO AGAINST YOU.
(3) Tlw date of service of this rule if service was by mail is the date of mailing.
Date:
,19_
Signalur" of Prorhonorarv or Depury
AOPC 312 84
COURT rll r TO FiE fiLED INIHI pnOTll0NOfARY
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PROOF OF SERVICE OF NOTICE OF APPEAL AND RULE TO FILE COMPLAINT
IT/lis plOof of service MUST BE FILED WITHIN FIVE (51 DA ~'S AFTER fili/lg the /lotiet' of olPlJUal, Check applicable boxes!
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ; $I
AFFIDAVIT: I hereby swear or affirm that I serverl
ij copy of the Notice 01 Appeal, Cornlllon PI'!as No. . upon the DisHict Justice desiunatcu therein on
(date ofsl!rviceJ .10_. 0 by pClsonal servicf! [:I by (certified) (rcuistcrcu) mail, sender's
ft!ceipt ilttJchecl hereto. and upon the appdlcl!, (nt11'w)___~_._.___ , on
I 19 _ 0 hy person.11 SIHVicH 0 hy lc~rtificdl (registered) mail, sender's receipt attached hereto.
Li
[1 and further that I served the Rule to Fil~ a Comlllaint accompanying the above Notice of Appeal UIJOn tho amJCllce{s) to
whom tl1(~ Rule was addressed on . 19 _, 0 by personal service [J by (certifiedl (registered)
mail, sunder's receipt attached hereto.
SWORN IAFFIRMEO) AND SUBSCRIBED BEFORE ME
THIS___ DAY OF .19_,
S,gn,ItUff,' of offlcl.I' bl.'fon' wham .,ff,dd'IIr .viU m.Je/t.'
T,tle 01 offiCIal
My commission eXI)ires on
S;gn.UUrt' 01 altianr
,19__
Z 2Lo!'l 334 783
~ Receipt for
Certified Mall
_ No Inlurllne. Coverloe Provided
.llDrlm Do not USI tor tnternltlonal Men
IS.. River..)
SI"tloE
va Jordan
Ii!
~
1! 'on"j"f.!: E. 151st St., A t. 1
i po. Sllll and liP Code
i-
t CllftlfiedF..
$pec:oal o.IlVIfy h.
Ie
$
R'SlfiCl~ 011......., ,..
RIMn Receipt Showing
10 Whom II 0111 0el....1d
Rleurn Rec,lpt ShowltlQ to Whom.
0.'" end Addrt""', Aek...."
TOTAL PoIIIgtI
,,-
$
Pos'"",! fz'rils
$
Z 268 334 779
~ Receipt for
Certified Mall
No Insurance Coverege Provided
== 00 not un for International Mall
(5.. Rlve'.I'
52 51"112.
~ May De artment Stores
I :'~".';:'.~~~~c~and Park Blvd
g" Wilkes Barre, PA 18702
~ Po._ $
! CtU"ltIdf..
if S~c,,1 Del","" Fee
RIstliCled ~y r..
Z 268 334 7?8
~ Receipt for
- X' Certified Mall
_ No lnsur.nee Coverage Provided
IBr'tCB Do not us. for International Mall
CS.. Reverll)
I $lfIttO
~ D.J. Glenn R. Farne
I
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!
Ie
51tH' end No
5002 Le
po., $1111 end ZIP Code
e
...,...
Cert"Ied'"
Spec. Deliwefy ,..
Rnlllcled Deltvery F..
RIMn Receopt s~
10 Whom . 011. 0el,.,..1d
RIIMn R.c-.pl ShoW''''9 10 Whom..
Oatl. .nd Addf....... AddftU
TotAL Posl.lQt
,,-
Postmllk or 011.
$
A.l\,ltnRtlCeooIS~1ftQ
10 Whom . [).lIe o.I",...ed
Retutn Receipl ShOwing to Whom.
0.1., .Jld Addt....... Addf...
TOTAL Po.ltge
. f...
Postmat' or 0.,.
$
3/2/95
3/2/95
-- -_.._---~
COMMONWEAL TH OF PENNSVLVANIA
COURT OF COMMON PLEAS
NOTICE OF APPEAL
FROM
JUDICIAL DISTRICT
DISTRICT .JUSTlCE JUDGMENT
09-3-04
td in P:rothy's Office 2-27-95 JHS
COMMON PLEAS No, 95-1007
Civil Term
NOTICE OF APPEAL
Nutlet! IS gllJI.Hl thitl the iJppt!IIJIH has fllHtl in tlw ahove Court of '.:0111111011 Picas an .lppe,,1 110m the judUl11mlt rendered hv the DisHict Justice
011 the date alld in tht.! case nlCntiOfwd below.
N"'Io4.-0..~"..,.i-=i."''''T
Enterprise RBnt-A-Car
",oo..a.. 0.. A.....~......."
CITY
1.'.O~~3~."'.' .. ...
."".
I." COOl:
6395 Carliole Pike
lIechllnicsburg
PA
17055
Oil". 0," ,UOQM.",,,
.'" "H. c.,. 0.. ...., ""'"
;I....."I~.',
2-10-95
Enterprise Rent-A-Cer
COllIpany
CI.A'l4 ,",,0.
., 0.. AlIa"T
TA 191CY-428-94
-
LT 19
This block will he llYiied ONLY wlwl1 this notation is rClIuirml under Pa.
R.C'p,J.P. No, 10088,_
This Notice of AplJcal'dfhen"!lccivcd by thu District Justicl..', will opcraw as
a SUPERSEDEAS to th4!"~.Hlumt.!nt for posst!ssiun in this Cilse.
g;;
" CI.it""nt (see P., R.C.P.J.P,
No. 1001161 in .ction before District Justice, Iw
MUST FILE A COMPLAINT within twellty (201
d.ys .fter filing his NOTICE of APPEAL.
... .. SiYflJruff1 01 PlOrlllJflOr.uv ar DL'PU1V
PRAECIPE TO ENTER RULE TO FILE COMPLAINT AND RULE TO FILE
IThis section of form to be used ONL Y wbell .ppell.1It w.s DEFENDANT Isee P.. R.C,P.J,P, No, 1001(11 illlJCtioll before District Justice.
IF NOT USED, det.c" from copy of lIotice of .ppeal to be served upon .ppelleel,
PRAECIPE: To Prothonotary
Enter rule upon
N,m,,] af iJppelltl,!(s)
. appcllce(s), to file a complaint in this appeal
(C01111ll0n Pleas No.
) within twenty (20) days aher service of rule or suffer entry of judgment of nun pros.
Signature o( appeflimt or his attorney ar Jgenr
RULE: To
Name of appellee(s}
. appellee!s)
(1) You arc notified that a rule is hereby enterell upon you to file a complaint in this appeal wilhin twenty (20) days after the date of
service of this rule upon you by personal service or by certified or registered mail.
(21 "you do nol file. complaint within this time. a JUDGMENT OF NON PROS WILL BE ENTERED AGAINST.YOU. _
(3) The date of service of this rule if service was by mail is the date of mailing.
Date:
.19_
Signature 01 Prothonotary ar Deputv
AOPC 3t2 84
COURT FILE
COMMONWi;AlTH Of PENNSYLVANIA
r.OUNl v 01 __._ ~h~~.~_-:!:____ __._____________ ; '1
...0
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"UZ~,
,.,..mY-'1
PHOOF OF SERVICE OF NOTICE OF APPEAL AND nULE TO l'ILj:~'tO!!'1PL'i'IlfNT
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,'rii " f <'i'f),' ,.,1 ."'''\-/['/' Mu,r; r Ht fft. FV :~'IT/!l/o/ r IV.' if;,: !Irl )'~; .'; r.' [;~ t,ti{.,! fI;" iiI!!"'" u! ,If',:"':tf: C/!l;i /-, ,'~Ii,Jllf,./:lIu.-,i
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AFFIDAVIT:
I h :1t'\,V ',,',\';11 ill ,dlin-n llut I ~,l :.".1.1
x .j ('lP'i lit :111' ~Jotll:': of -'\pPI...1 Cill1\11lUn rll'il~, Un, ,95-.1007._, UP')11 ttlt' D''.ll ,:1 .!u~!'Ll' d,< ..Q1l.11i:d Ih"II'ifl pi!
r,,1,lt,-,ofSl'r'':"lf.t'1. ~~~ch_.!-~.._ ..._ '___, 19___~5_, ."; bi po 1',0110/1 ",:n.'~IT X \ j'v ~u il:[I,'dl (u"i''ttl'I!:ll\ m,lil ".'nell'l",
,,"'''p' ,,~,'d"d "._",1,) ond el'''''' ,',,' ,'1'1'..1'..,., (""",,,.1 'May Department Stores Company and Eva Jordan ""
~a~~ 2___.. ___ tn~~__L_,,; hy 1\':1",,1):11 \,"\,1("1' [~! !l', (r,,:tl1i!d) iH'iF.tl'I"d) llLl". '",nil"f", II'U'Ipl ;llt,ll;tH'd lll'rl'!n
.
<ill!l fUIIIlI'1 Ihal I "-('IVI'd tllf' HII\!' 10 FiI,' .1
.:.\1PI11 llw Hut,. \':'1) ,Hldll'",,!:d 011..
m,IO, l,ender ':; lI!cl'ipt i.tllactwd lIen'to,
COltlpl,j1I\1 ,tlt,oml' 111'('11\1 Ih.. ,)h~l:"l' NIIIIU' oi AP!lI',d UpOll tilt, ,lppl'l\I,.~h\ III
___,10 by 1J"!',(Ol~:d ',l'1\'(" i j by (cI'lfilll'll) (n'l!hll'l,'dl
nA, /.." 0:7~'.'--'-------
// ... ,r /j S,qt/,lUHf' of ",fli.Wf
. ,/
v
SWORN IAFlIflMEDI AND SUSSCfllSEI) SHOBE ~,IE
THI5-}.'l.d_nAY()F.._~a!.ch .. ...._, 1!L.!l.~
._. _.~ .n(.3_..l.C/~tuv .
S"JII,j(lJfI' of /.f(CI.;,'/J" !r."" o\,'hif' /f1'iI,'.'" ,'..;; in li/"
__._.. . No.~ary. Public..
Tille n' off,,-,I'
My <:011\1111;..;<1,1 "If,i':', ~l'
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NOTARIAL lEAL
IlIA II. ZIEC1ll.EII. NalIry NlIIO
fIIdlg, 8Irb County, fA
Mr ec-lllton IIl*ee 7-17-115
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF: CUMBERLAND 7/.u
,_ (7171 761-8230
17055-0000
COMMON PLEAS NOTIFICATION
'lJ'. /PO,/ e-r. REQUEST FORM
PLAINTIFF N""" and AOOll(SO
~NTERPRISE RENT-A-CAR
6395 CARLISLE PIKE
MECHANICSBURG, PA 17055
L
DEFENOANT: VS.
r;; NAME .,., AOOf~80
MAY DEPARTMENT STORES COMPANY,
250 HIGHLAND PARK BOULEVD
WILKES BARRE, PA 18702
L
ET
.... om No
09-3-04
_....
w tQme" Hon
Glenn R. FARNER
5002 LENKER STREET
MECHANICSBURG, PA
Glenn R. FARNER
5002 LENKER STREET
MECHANICSBURG, PA 17055-0000
Docket No.: CV-0000428-94
Date Filed: 10/31/94
Plea.e be advised that an appeal has been filed In the above captioned ca... Klndlv UI.thl, 'orm to Indicate the ,..ult.
In this ca'I, and return to the lasulng authority (listed above).
RESULT OF APPEAL
SUMMARY APPEAL
APPEAL STRICKEN. appeal ha. b..n di.allowad,
APPEAL DISCONTINUEO - appeal ha. bo.n di.ontinuad by app.llant.
DISTRICT JUSTICE OECISION UPHELO . court ha. r..chad .am. daci.ion a. original di.trict ju.tlc. d.ci.lon,
_ dlltrlct Justice office is to collect ,emalning fines/coata.
APPEAL SUCCESSFUL. court ha. r.achad dacl.lon lav.rabla to dal.ndant.
lull r.lund to bo IlIu.d by dl.trict ju.tic. o",c..
partial refund to belasued by district Jusllce office.
REVISEO OISTRIBUTION OF FINES AND COSTS
" di.trlctju.tlc. o"ic. I. to IlIu. a p.rtl.1 ralund. pl.... Indicat. .ny now dl.trlbution In th. amount(.,
of flnel and COlts .a n result at the court', decision.
FINE
COUNTY CAT COST
STATE CAT COST
STATE CSTI
HEARING COST
EMS
CAT
JCP
OVC
evc
cco
OTHER(pl.... .p.clfy)
CIVIL APPEAL
APPEAL STRICKEN - app..1 h.. bo.n dl..llow.d,
APPEAL OISCONTINUEO . app..1 h.. b..n dl.continu.d by .ppell.nt.
DISTRICT JUSTICE DECISION UPHELO . court h.. r.ach.d tho ..m. d.cl.lon .. tho dl.trlct ju.tlc. Judgm.nt.
OISTAICT JUSTICE DECISION OISMISSED . court h.. r..ch.d . docl.lon th.t do.. not concur whh tho dl.t,lct ju.tlc.judgm.nl
WRIT OF CERTIORARt
WRIT STRICKEN. appe.1 ha. b..n dl..llow.d.
WRIT DISCONTINUEO, writ h.. b..n dl,continu.d by .pp.ll.nt.
DISTRICT JUSTICE OECISION SET ASIOE .th. coso will bo r.h..rd du.to Irr.gul.rlty. I.ck oljurl.dlctlon. or Imp,opor v.nu.,
WAIT DISMISSEO, dl,trlct ju,tlc. d.cl,lon w.. not lound to be tlaw.d. I.cklng jurl'dlctlon . or having Improp.r v.nu..
STATEMENT OF OBJECTION (Pl.... glv. a gan.r.l.umm.ry 01 tho ...uh.)
OBJECTION DISCONTINUED. obj.ctlon h.. b..n dilContlnu.d by tho .pp.lI.nt.
OBJECTION OENIED. obJoctlon h., bo.n d.nl.d by tho Coun 01 Common Pl....
OBJECTION UPHELD. appcllanl'a objeclion has been uphold bV tho Court 01 Common PIOlll.
AOPC 729.94
FORM PRINTED:
3/07/95
9:29:01
VIlRIJ'ICATION
The undersigned having read the attached verifies that the
within Complaint is based on information provided to counsel, which
information has been obtained by counsel in the course of this
lawsuit. The language and writing of the Complaint is that of
counsel and not of signer. signer verifies that he has read the
within pleading and that it is true and correct to the best of
signer's knowledge, information and belief. To the extent that the
contents of the pleading are that of counsel, verifier has relied
upon counsel in taking this verification. This verification is
made subject to the penalties of 18 Pa. C.S. 4904 relating to
unsworn falsification to authorities.
ENTERPRISE LEASING COMPANY
BY:
DATED:
II. ~C~ . .bP'5'
Louis J. Rizzo, Jr., Esquire
REGER , RIZZO
656 East Swedes ford Road
suite 110
Wayne, PA 19087
(610) 964-0901
PENRAC, INC. d/b/a
ENTERPRISE RENT-A-CAR
6395 Carlisle Pike
Mechanicsburg, PA 17055
Attorney for Plaintiff
.
.
Attorney ID 168779
IN THE COURT OF COMMON PLEAS
.
.
CUMBERLAND COUNTY, PA
.
.
vs.
.
.
MAY DEPARTMENT STORES CO.
250 Highland Park Boulevard
Wilkes Barre, PA 18702
and
EVA JORDAN
322 East 151st Street, Apt. 1 :
Bronx, NY 10451
No. 95-1007
.
.
.
.
COMPLAINT
1. Plaintiff, Penrac, Inc., d/b/a Enterprise Rent-A-Car
(hereinafter "Enterprise"), is a Pennsylvania corporation with its
principal place of business at the above-captioned address.
2. Defendant, May Department stores Company (hereinafter
"May"), upon information and belief, is a corporation which
regularly conducts business at the above-captioned address.
3. Defendant, Eva Jordan, is an adult individual who resides
at the above-captioned address.
4. At all times relevant hereto, Defendant, Eva Jordan, was
an agent, servant, workman and/or employee of Defendant May, acting
within the scope of her agency or employment.
5. At all times relevant hereto, Defendant, May acted
through its agents, servants, workmen and/or employees.
COUNT I - ENTERPRISE v. MAY DEPARTMENT STORES CO.
6. Plaintiff incorporates by reference the averments
contained in paragraphs 1 through 5 inclusive as though the same
were set forth more fully herein at length.
7. On or about September 9, 1992, Plaintiff, Enterprise, by
and through their agents, servants, workmen and/or employees,
entered into an agreement for the rental of various motor vehicles
with Defendant Eva Jordan, individually and as agent, servant,
workman and/or employee of Defendant, May.
Copies of the relevant
rental agreements are attached hereto and made part hereof as
Exhibit "A".
8. Pursuant to the terms of the rental agreement, the
Defendants assumed liability for any and all damages to the rented
vehicles while those vehicles were in Defendants' custody and
possession.
9. While a rented vehicle was in Defendants' custody and
possession, the vehicle sustained damages in the amount of
$1,145.00. A copy of the relevant damage appraisal is attached
hereto and made part hereof as Exhibit "B".
10. Pursuant to the terms of the rental agreement, Defendants
agreed to pay rental fees for the vehicles in question at a rate of
$550.00 per month, plus tax.
11. The total rental charges incurred by Defendants were
$4,724.52.
12. Defendants have paid $643.00 towards satisfaction of the
outstanding rental bills.
I
"
13. Defendants have refused to pay any part of the balance
owed for the outstanding rental bills.
14. Defendants have refused to pay any part of the property
damage sustained to the rented vehicle.
15. The rental agreement provided for the payment by
Defendants of 1 1/2% per month interest charges on all payments not
made within thirty days after the end of the rental, which interest
charges continue to accrue. See Exhibit "A".
16. The rental agreement further provided for the payment by
Defendants to Plaintiff of any costs and fees incurred in enforcing
the rental agreement, including attorney's fees. See Exhibit "A".
WHEREFORE, Plaintiff, penrac, Inc. d/b/a Enterprise Rent-A-
car, respectfully requests that this Court enter judgment in its
favor and against the Defendant, May Department Stores Company, in
the amount of $5,156.10, plus interest, attorney's fees and costs.
COUNT II - ENTERPRISE v. EVA JORDAN
17. Plaintiff incorporates by reference the averments
contained in paragraphs 1 through 16 inclusive as though the same
were set forth more fully herein at length.
18. On or about September 9, 1992, Plaintiff, Enterprise, by
and through their agents, servants, workmen and/or employees,
entered into an agreement for the rental of various motor vehicles
with Defendant Eva Jordan, individually and as agent, servant,
workman and/or employee of Defendant, May. Copies of the relevant
rental agreements are attached hereto and made part hereof as
Exhibit "A".
19. Pursuant to the terms of the rental agreement, the
Defendants assumed liability for any and all damages to the rented
vehicles while those vehicles were in Defendants' custody and
possession.
20. While a rented vehicle was in Defendants' custody and
possession, the vehicle sustained damages in the amount of
$1,145.00. A copy of the relevant damage appraisal is attached
hereto and made part hereof as Exhibit "B".
21. Pursuant to the terms of the rental agreement, Defendants
agreed to pay rental fees for the vehicles in question at a rate of
$550.00 per month, plus tax.
22. The total rental charges incurred by Defendants were
$4,724.52.
23. Defendants have paid $643.00 towards satisfaction of the
outstanding rental bills.
24. Defendants have refused to pay any part of the balance
owed for the outstanding rental bills.
25. Defendants have refused to pay any part of the property
damage sustained to the rented vehicle.
26. The rental agreement provided for the payment by
Defendants of 1 1/2% per month interest charges on all payments not
made within thirty days after the end of the rental, which interest
charges continue to accrue. See Exhibit "A".
27. The rental agreement further provided for the payment by
Defendants to Plaintiff of any costs and fees incurred in enforcing
the rental agreement, including attorney's fees. See Exhibit "A".
WHEREFORE, Plaintiff, Penrac, Inc. d/b/a Enterprise Rent-A-
Car, respectfully requests that this Court enter judgment in its
/
favor and against Defendant, Eva Jordan, in the amount of
$5,156.10, plus interest, attorney's fees and costs.
REGER , RIZZO
By:
Jr., Esqu re
Lo
V E RIP I CAT ION
LOUIS J. RIZZO, JR., ESQUIRE, counsel for the above-named
Plaintiff, being duly sworn according to law, deposes and says
that he is the attorney for the plaintiff and said plaintiff
cannot make the Verification because it is outside of the court's
jurisdiction and its verification cannot be obtained within the
time allowed for filing, that the language and writing in the
Complaint is that of counsel and not of the plaintiff and that
the facts set forth in the foregoing Complaint are true and
correct upon his personal knowledge, information and belief.
3/ih(
DATE I I
//
LOUIS
JR., ESQUIRE
!~)l
I "
ENTERPRISE RENT -A-CAR
..;:.'"
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2 GATEWAY ~11(jI=FItIG CEtrfEP 71"-E~8-77E2
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.(AIlI
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nPE
RENTER
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,on"ls'!.
n
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"UII
ORIGINAL VEHICLE
-,. I
'1",1
;".~, ro, ,
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l'CtP\iSllrlltl
lO':"L "DOIII"\
.......
aUf IN
{'l'\o
( ~
r ,. r,'f' .~.. r'
, -.
I.' 'r
CONDITION
OR/FOR
OR/FOR
= OR/FOR
;:; OR/FOR
'jO/GLASS
- ..'_:NKISPARE
,"L COVERS
JUT E 1/. V..
... E V.I/..
BILL
TO
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'*l.lo'i
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tP~"I=
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F
t.'!='l c, ~
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Pfll~O""~
4CCIC('H 1"'5,,"4"'C[ X
REOUEST FOR PE ,
'.CT .....lIC UIOlESS 4PPAo...ro
'.E'.T[&:lPII'SESIIEjllIIUE..,..Tr,'E
, 'f,;..fll f.-'.';'" t ~,'--u'c~ .: ~.
'""1"", C~. i.','\:J
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..... II! .'.I-q 'M' ,..)' .., U~, X
~I ~'I. ., ._,~.! ...~.r". ...: '.... .... ," Al .,'\"
...:1 u .. =".' of! \~..,.. .. ,,~.. '''-
,y...... ...~..... _,...: '-1 .- ~~. ...., ','" X
FOR PERSON OTHER THAN RENTER TO DRIVE
,EPLACEMENT VEHICLE
4:>1 ~<:I'jS! Irrl:l
tl'" nTU=t.:.=
-4__l,.,H.-sYloo,-
."
TC:.I',..':TI'
.... 'lll.."lIl'''UI~t
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,
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.'
~' .. ". _..... ,.' ,0 0".:' .... :.. . ,. .. .., . -. ,....
. . .,.... .._ ,..'~ ..,..., '. ,'. t. .~:. -. ..; .,..
..1....:.,. ..~ ......-.~.. ,.lO ......, ...u.'!."
.' ....,.. ..... ......... ........ ,. .:.._~
. , .' .........~ ._~ ....." -'.- ,.. t. ..";.".
...l..'....:'..'..,.,.....;... ,.
'. ............., .....,.,.-, ..,",
'.E.,:""'"'OI
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~' I,', 'C :,,:,~'rr'
'N
OUT
X RENTER
PERMISSION GRA
D C:1, sa'"
AUTI"I By
P~H,QP,QISES RE"
R VEHICLE TO LEAVE THE STATE,
Io..ro. "
1'...(:..... 'H! I>~~
TOTAL CHARGES
LESS REFU"OASLE
EXPE"SES
U...T.
CONDITION
OR:FOR
QRiFOR
::lA/FOR
:)RIFOR
o GLASS
',K.-SPARE
. COVEPS
E V.V.~11J"2!4h F
EV.'1.3IJVJ~SI,~.F
OUT
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CLAIM INFORMATION
":):.'''IO'.,lo~ '.~:C''''''~IO'.
POL OR
:~ ..
",'.0
..055
~ATE
.....~...
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........
II"""
~v~~ b:\L.u_~_cJ:l-1b8R
""'1~ AUDITOR'S COPY
-.------
..... ..
"
;-','"iVAR'E CF iHE iClLC:WING tERMS "~IO CGNOmONS CONCERNING
l.'i-r. CF TIlE ,{(I'lC~ ,\1'10 ACCEPTS FUtl !lESPONSiBlllTY PERE!N. lhi, O:::1I1HJcl
, .."ti,. oq,rmcnl b.'.....eftl Relit., cud OWMf'. It i. ogt,,,d thul ,he.e lellnt (III'
c(.~c1 cud CCl1flol bo aUeled by nutJll",~ dc,c1m..ul Of Oft'll UI"~I..t1,,"l 0....111..'
U ro wauoHlie, '''P'''' or illlprlltd Ralllr.r aull..i,nt Owner lu YC'" y Illtougl,c,e,1iI
<".!IOf ollld' I~.' pcnonal Dnd ("!elil Illlnwmlion IwoYided hy RcnIC'l". Tim" i.
e "s~. of Ihi. agreement At uled hen:in .cor'" meunl aulOflloL.J". 'WOn at lruc~,
"'f- ml!onl owner or owner', rtpuuenlolive. .
,;WNEllSlIiP, CONOIllON Of CAR, TERM Of CONrRACT. US~ Of OR OrER.'
JlI OF VEHICLE: Renier oc~nowl.dgel wllida I. IIIe ptopCfly 01 nwnar. cllhuuyl.
r.. ,d lilll may be In a lI,;,d "",Iy, and aclo_lodg.. he lft.ived CGI In goo~
d end med-<ricol cond;lIcn."
i\en/... a~.t 10 ..tur" car to OWlwtr tn san'" condilion a. received. on relurn dule
c co r-.nne or upon d.mond af Owner. ordinar)' wear and t.or acc17pled.
: ~Cflln' agees ~I 10 U1. cat lor lramp",loUon of p.n~ ~ p!OPe1'Y fOf' hl.c,
'~-ny poulngc,. If Iruck or wn b Ilnl.d. nor VI' ca' '" 'ttOkJhon of ooy low,
f.;:1(:1 0( regukJlla1 govetning Iha U18 Of return IlIellOf. nor remr.MI U ham n~ 51ulc
(I':d willtaul 'Millen camenl alOwstl1t
i ".ENTER EXPllESSlY AGREES 10 PAY 10 OWNER ON OEMANO:
! 'oJ 1he _~. d~lgO cOl'IlpUled al tal. .pecifiod on 11\11 ,fO'teuo fer nu1~I
,. huvolod by _ d..ing lho pofiad 01 ronIoI. .
S.''ftU and lime dlCfg._~_ a' rale ,p,cm,d on '~en. pius alllet' d,orgcI If
aooIkablc. n-.n If a biKing ot "olo"tenl h. .cn' 10 OilY nlher COl'1Jt1..Y.
k-td'mducd. Of ~1turanc. OlgonizaUol1. Sctt...ka d~, "toy I"c.hltln a ,UtC w.Jt~
'#I..hkh repl"nts a pot lion of ..pense, Owner tna... illlha renlnl 0' eadt CUI:.
lhole chargtt are colcuJalad al 0 perunloge of mileug.,. Urne and cLojJ
charges.
: (c) 11.. wJve 01 tiras. laol, and accenar... loti or ,'aIMI from car.
(0) 0... lJund,od Dolor. (S 100.UOI 01 hello.. Ihen 0". Dab (S 1.0UI p.' .otlo
.. how. whidvrtcr II g~.ot". In addillon 10 all olh<< doges. IINI cor it ill
\ poueisicn 0' RenIer if Ih. adom.ler b di.eamec.ed or lampered with. . ,
!<) Any r... '" Iogol .!alallon ag<riNt the _, dr.... 01 0wn0I ~ur.'llll;. tDn'rud,
..pupl for Owner', laulL .
II) A One end One-Holf rrrten' (l\'i::J per maullt (nrfying dlOlye on aD dtatyt.,
, nol pcld ..ill", 11;,.y PU) day. 01101 Ih. Ind al.h. 1...lol ,
Onl IWod Dalnn IS 100.001 01 Filly C..d. (.50'1 p.' ".1., ..hid,.".., I.
Vlloltr. if Ihe car Is nol,,'umed 10 the Ofiginal renla! 0 lico wilhou' Ih. w,illen
consent ar Own" .
^I '~pmll' incurred by Owner In lh" coI!cc.lron or ",oules elue Own~r pe,
thi. ~'eeln'"'. or in I,pail-Iug ponenlon 01 cor or in M110.cing any lefln at
. condihon of Ihit aqreemlllf. incWmg ollooltrf" Ices and CgSIL
l:il Damoge 10 ,."Ied car if DO,"Q9" Waiver &. not purchased or doe. nGI awly.
! ::^MAGE 10 REI-If EO CAR: Reider b. tI.~Ufe for and ogre'!' 10 pay to Own~r
.;:,1 vofu. 0' r~locinlJ nod/or ,.pai,Ing olllen.s end dc.nag." 10 Iho ,,"led cur
. "10,, of usn chnino lh. pltftod II is IJnOYOiIoble lar renlal USct 01 meoll.llGd by
;:'::.1. ,mlal 'reIue ar mnling Q tlplocc""fnl car. ..peDcII 0' faull or negligencl:t
"enlr.r fJI ouy penOll, nrod rugoltJ1nn if elonll1uel nre a ,esull of nit ncl n' Gall.
" oll.n ...I Ronler 09'''' 10 I"'y "" ,Jd."ioronl I.. I", DAMAGE WAIVEll,
fCUO'l'Od or ~ dedudibk on lellln,'s pulicy. and ern utlclillolled umnuul,lIttJ loluJ
r'. d,duclible ond Iha atldiUollol omat.d wiD 1101 .xcelfd S 1,000.00. Renlcr
r'!JpClluOle and is obfigoh:d 10 O\'f"er 'or cD dcnJOglJ olleJ cosls in ...celS or
'.':10 end oyor..! I., prouml 0 doim fa Iii. Inlurence ogetll/carril!r fer aD sudl
.: elf'll cosls, R.nlor', ,"w,clIce I, ptimary. ()ulnogu Woi'f'e't' doot nol Of'IllIy If 1110
l"Jre"l ar i' ''1llle, 01' cl,iVf!t' roil. h1 et 'Crll~"' IQ ltIulro IJ tr~'u,1 01 e'anone! In
;r all(" law~d oulho.i1ie,. or 10 c~r lIut dkJln ~9as. ^ "joSuliou 0' OilY
;' ., allhi. ogcufJlenllnvcRdal1l Domago Wai~
. :.COILY INJURY/PRorERry DAMAGE RESPONSIDIUTY 10 1IURD PARTIES: II
~~ ':1 olh'!t' aUlhoritd crivcr b In eDntpM'1nce wilh ail pr9visiol1' of Ihl, ag1eemeul,
L.:"!'wun 25 and 70 Ylors ald. OWl1t!1'. litlondollat~mibj;ly tI..lond. 10 Renter
-::':rr dri"~fI named on Ihi, utpltm1enl uueJ QJlpl'7'tetl by OWtlt!1 ler IIUrd pOlly
'., r;ri,ing Irom Ih. u,e af Iht cor r1' reqr:u,,,J by M"lo, V.,llida Minimum rlllanci~1
':_.~,,~..ii!y law~ 01 Ihe 110141 where lite c?" Is OPelC'"c.l. utHU Iii. oytaenlenlll!Ctuill,S
", "I~~ ,a p'O'f,d. "M cO'WefagG. Rellll!t I' ht,pansible for damuge ar loss 10 Frape,l)'
';';'I~dby or In Ih. CO",
.. '~":llNSURED M01CRIsr rRorEClICN: Unitlulled Molo,ill rrolecHon I, urnl"r.r
, ., "'; ulcd. n;or Pl';'"'ided os pm! 0111.., Cfg1~flnenl :tenler eJlf:Il!Iuy ayteas 10 .....ui"e
1;-'" !a dain, ""'"'VIed molou" POllKUOII hom OWl16 .
:. -:~:CN.,'~ ,.\CC1CENr INSURANCE (rAI): MI aoes not t~.,:, ~J,iltJ "'c,lie. '0'
:1:~' IX' ilJUlIlS. COW'tcge ls Smiled to rambutslu; Ren'ctt'. dri'tOr. Of Po".ng~1I
cobl" blodl Q41,lac:tt 01 IIllt C~9rtell1cnl. and II IUDlecl 10 linN emU ecnailic"s in 111.1
Oelllnl "nlir.,.. .
9. OWNER'~ f1NAl'lC,\L RE~i.t,;N~inllln, Ul'ILES:' LAt'i liE"';'UIRe,S, OOfS t-tO(
~:<Trt,,,) I": , '
(u) i.ju,int 10 Ilut n,'"h", -dli"r.t. Of p""etlgcr' .....1.... riUllICJ in. uG\JllliwJ "IJlll,
erdr~ illU or an lI~lIlad COl', .
(bJ Uabttily ir"POlClel ul''''' or a'~Ulllo~ by oo)'On. under QIlY wo,k,,'. campen.
tollon ad. pion, or c:onllect . ,
(c) DoeJity tnjury at plorert)' domaD" octuning ....,Iilo .he car b used os a
commercial velliela or IOf' a COllVlletdol putpol& ....
(0/} Any "",pOlly awned 01 renl.d by 01' In II.. tor. 0' Ih. Ron'"
10, Accidents mud b. im,nacrlCl.d1 rqJOIhrd In wrillno to 1111 om" wh.,. Ih. cor wo,
roulao end In on)' .,.,.,,1 wllhin 2" hour, all., Ih. accidlt'lL R.nter or dti...~r mutt
In,n,,,uliUlely d.G"., 10 Ih. aUi,. flom wlu:re Ih. whida wo. mllnd I\"Iry proC'UI.
p1lMding or poper reloliny 10 OilY dams. luils and p',ace.d'lIlgs. lhu RenIer and drher
ud nol aid any doimanl bul uICa tDapaol. My ..IIh OWOI' In 011 manntr. tDlW,..lld
wil" ony dcims or .uils. '.
II, Ir II~. Is evidenco of viclalion of any paVision af lhil ogre",":"'_ Reuler CJg!et:'
10 tntlctnllily Owner for cD Io,!as. danlOglf. co.ls. alld ell~'ns.. paid ae: tnc\lleu by-
OWller I.Iulling f,am 1111, ..,pelohon of the car and Ranier Wlit p,esenl 0 dOI"I 10 Renl" ,
Imurunc. cem;'r for !uch Ioue" damages. cost... and l!lIpenses.1f Ranier hat no Wuurance
10 cover laid Io,s. Renlet' UgHU" 10 puy Owner for aa such lou.~ .
. 12. I\JI)' polctclian nrlcrrvd to tn II Ii. "gr,,",uenl Is null and 'f'Oid in Mc.tca. Rlndor 01
o"ctr1I01' na,,1 oblain OWIIOI', wtilleu p,"",lsslon and pUldICla 'p,citJl insutonco p.:Or
10 eulering Mo.Ica. '
IJ VIOLATIONS Of TIlE CONTRACT: ^ .;"Ialian ar II.. canhatl d,oll ..ill II Ih.
eer ~ us~d or d,i...en: . .'
(oJ h vtolallm1 of any lemt Of' corldiHou olll~, agreem"lL
(bJ By any per,on under Ihe age ar 21 willlOul Owner'. wrillen peunlnion, or
b)' anyone who hot gi'f'" a liclidov, name or fa". ago QI odJI"~u,
(cJ Far any iUcrgal pUlpasa. is 9.lOec. ,p.ed COldest. 10 tgw 0 \'chid. or lIailo~
(cJ) By any per.on if Ihl:t" b rec'ollQblo ..,idence 11"y wer. undor II.. 1nlluenca
of norcallc.s.lnla.icalll. or drugs. .
(oJ Dy OilY penon olltcr .hol1 Ronlet' wilhoul w.llle" :~",ent of Owner.
(I) Oullicl. II", ,Ialo of renlol without wlilh:n CONell' 0' Ownet:
(g) Under oulhori'r. ef any Geen,. oll..er than hi, own. Renl.r wonv;,h llial the
;Ceme shawn 0 Owner 01 tims Ihe cat' i. ICnh:d is hi, own and fuBy "DUd.
(h) If renlar or driver lell'fcJ Ihe cor untoc~ed 0' fait" 10 'ecUlIt III, ke"s.
(i) Olherlhon 0 pa...ed pubGe highway, plivale roud c, drivl!Wo)".
m ... Q reekiest ar ullprucJcul manne1' or U Ihe cor i, deGbcrolll)' dOltlOgld.
l1c.J Or if tanler nUlleplesenll rue~ 10 Owner pertaini"9 10 renlel. USlt. at cperalian
of Ih. car.
lJ. Upon t.rmlnalian of Rt!1IlCl" .iU1d 10 apelole said co, by ,a'JlC'ft 0' ...iotalion of
ally' cOlldilloru herein stated. Relllet ogtcre' 10 ceolo using laid car. 10 nOli'" Owner.
anCIlo pay olle)lpetna. incuuftd hy Owncr in 'lIhnn!ng Cot 10 pion of renlol and ag'QI!S
. (lIY conlullJe.'!d operoltan 01 cur ullr, 0 viokllioll is all (Ipcmllnn WtlllOullhe ~nowlcdllP..
calUclll Of pr.III11SSioll of OW1M., PIJ OWIIl!'l' !Un)' llOlUy IKJCcO ,gjJ cur hos b.en sluf'tl'1
und Renier rdeo,'!s anel cliullU,yn, Owtlet' "OIn OUY ~ultiljl1 auu ul darml "r any nululo
GIbing Iher.',orn. Ownar ha, Iho ligllllo leilo. wilhoulll!U~ p,oceu, or noUn 10 Rcnler.
sold cot at any limo Of' pluca and lhrnler wai..e, aR dolnu fOf' damaDa, conn.cl,d wllh
,uch .eitUfe. . .'
15. RENfER.S INOEMNIIY l'ItOVISION: Rnntr.r .hail dlllcllf', tncJntlltlirr,' onoJ hoid
~.llaf' ha,m'cn lInin ntl ~l"r.'l. rlUh.lilift,. dUlllfll:;J'!'l:. t..ju,ir.t, c1ui",., ,JClIlom t, co," end
C:.pl!ll1l1' cOlltlectod .....ilh lito l'uucnion or usn or It.., I(:nlol c." including duicm or, 01
Gobililie. 10. Iluld par lies duo 10 cbandonment. eon"~,,IOI1, c,=,~coinll!l1l. CI unoulho,izr'l
sal. of Ih. car Of' eonlitcolion a' Ih. cot b)' ycYe,"nu~nlal aulll\.Ki'y. fer any unluwhil
Of Improper U'I!.
16. AU charges ore subjc(t ta fi,~1 oudil
17. RENTER AUTIlORIIES OWNER TO SLlUloIlr FOn PAYt.lE~IT C~E!:'lr ORO
VOUCHERS IF A CREOlr ",no 'lAS DEEN PRESENrEO AS A MEANS Of OEP05H
OR SECURITY AT TlIE liME CAR VIAS REI'II~D, INClUrln~G If ANY ntlRD PAR"
10 WIIOM A BIlliNG WAS DIRECTED REfUZES TO MAr.E P"YMENT,
10. POWER Of ATTORNEY: R.nl.. he,_by 9'''''ls and "1'1'01"11 10 OW"'" a U....I.~
rOW!!' 01 ^lIu,"~y In prelrlll i""1I'CIlce dniln' for "..one,l~ dOlUuglt 10 Rtnl,.,', r.,'Ulcnc~
cUllic:r if Ihe 'enll:d 'f'!hido j, docllo!]ed elu,inu Ihe lalut 01 Ihil IOlllai og,e.menl: anti
10 I"dorl. Renle", nctue 011 tUlI.nouee poytnunls ror dlOt'gll or dmnogtl.
19. II coy P!1?"i~cn of ll~, IImlw agreement i. uniu.....iui. crtnuary 10 pui::iic paii:y. 'rei';
or u"enlOI'C.abl~. r.tllolning punltion. shaU eonlinu. in full 'oree and .n.cL
BY RENIER'S ..NO OWNER'S REP~ESENTAl1VES ~IGN^IURE, l111S PRCVIEIO~IIS MACE .\ p,'~r Cl11~E RE;-/f,\L ACRS::'\\ENt
NO INSURANCE OR PROIECTICN IS rROVIDED L OVltIER" RENIER I'RUVIUt. AllINSUMNr... RENTER WARRANTS TlIM C,;)
liE ILlS A VAllO peLlC'! Of AU 10 n.l:URANCS CO'{E.1ING as-HAL VE":C:.! fCR CCUIS:CN, CCMI'!\E.'tEN:IVS. ANO UAClur'l; ,~
AND IS Nor AN ASSIGNED RISK.
VEF.lrtEO:
"
OWNU.S REI'RESEt'IIAIIVE
S1GN.\IURE
~c.;iNC:t~.'.y,t
'"0NE 'ol.':j~eu
~."I" ....
. . . . ~ . . . . 'orlR^llCf'1 CArE
rcucy NUM'U
o COLUSION/CCMl'REII~SIVE
[j L:AlllLll"l
o Nor AN ASSIGNEO RISK
'.
I\GEt'ICY .1(.'111:1:;
rU:;ON CCNtIR/M-U.i IISlnMNC2 COIo"'''lrt
RENIU S S1QN.\IURE
-, - ---------_._..._..._-----_._---~---_.,...
.IAr.... Ill"
-- ~.F jllE '{EijIC:~ ,\"'0 ACCEPTS FUlt qeSrCt-ISiDllITY tlP1E:rr This ,=:nltnc!
.I;"~. aquTT'ICf1' b.'W't'en RCIIIt" Of"J Own",r, II i. CllJI'lInd Ihu. _held hmnl c"',
~ d e,,J connol hno nlll!'lt'd by nlv.JI!W"f t!c.'<.lI"".I,1 or oml Ull'p''"l\rlll 0....,...,
~~~ ....UfIUIWi... e..p'.u at Mllpr..,U. ROil'''' aulllOliUl~ O...."c'.lu 'rl''''Y IIIH1ufJ".('II~,I!'
l'l Cf ollK" lot6CII' pc"ooo' OlleJ <uHr.1 ./1I~f"n,?IIO" provlClet' hr, Renier. TlIIII! "
.'1'>"(11' olll,i. c;r:reocmcnl A. used IM:'U!1f1 cor nMuns aulOfllULIlI!, 'tUft 0' 1'\Jc~,
.,~. m"cn' owner d: awne,', repll!Sl!'nfoli.,~ .
;-, 'I~-'ERSIIIP CONDITION Of u\R, TERM Of CONTRACT, USE Of OR OrER,'
;' C ,. VEHICLE: RenIer odrnowledges ""llidlJ Is IIn, pmpcfly 01 QWflCr. c:'''houy''
1 . ''; !'lle ~ be in a Ihird porly. and cclmowl.dges h. rrceiYed car 111 gaou
~, end mMhoniccl condiUc:n.--
;:- ~.:, ~ og'''1I 10 ,.fu,n Ca" 10 Own", in tanwt ccn&licn os received. on relurn dule
1 r~fI. or upon demand 0' Owner. cwdinary weor and lear aecl!plad. .
:; r~~f 09""s nol 10 tn. (at lor homPflflollort 01 panons or pteperl)' lor hur,
:::'/ JXHle11gftl I' IrUQ Of 'tOI1 Is ,anled, not UJ. car in viokJlm of an)' low,
r::l' ~ regulolm g~,ning Iha U1ct or rwlum Ille1'eor. nor ~ illrom lllr Slola
ki .....ilhcu' 'Millm cOlUenl 01 OWIIl'!t
, ,:-IIEJ1 EXPRESSLY AGREES TO rAY TO OWNER ON DEMAND:
Iii... '"".091 dtOlg(t compuled 01 '01. ,p.ciliad on II.. .royetSQ ror mite,
1"",I.d bY cO' d...mg 1"- p..iod a' ,.",al ,
~.,tyiel and lime dlarge' 01 ral. tpecilied on 'nan. pius oilier dlDtG~1 if
:rp\lCobr.. wen If a billing Of dafl!'lnml h' son' 10 aur nil let' eO"l)f1f'Y,
;lc""lducf, or '''\lranel OfgoniraUon" Scn'W'tce dtO'lJt!s "'or juc.lltd" a Ju,e lUlU'"
....Ilkh ~p'...nls a porflon 01 '.l1emes Own... Inco" in UM! 'efllell at eod. cur.
illala dJCn"ges or, calculaled 01 a p.,cenlage of ntI1euglt. Urn. and wc!'
':~ges.
ill4t vdu. 01 lI,as. 1001. and accessarie. loll or slolen frcm cor.
c,.. Hund.cd Daaar,($IOO,UO)a< iloilo.. 11"",0... Dal'.. ($1,001 pn' cacl.
hOUf, .w~ 'I 9"oh", In cdcJjlion fo oil ol!let dages. II.., car I. ill
;;ouaniot. of Renl<< 11111. ademeler b di.comeclttd Of lampeled wdh.
,i ,\ny rane Of Jegcl 'W'ioloIiOf1 against lhe ccr, minr or Ownft' wing Ihis cOlllrud,
.. o:JIIcepl lor OwnCf'. lault '
J ,\ Ona and One.Hell r~f(.enl (I ",,:, p.r molll" cnuying dlOfge ouaD dlOfUt~s
nol paid will., 11.;,ly (30) Jo)'s oiler Ihe .nd allha retalal .
Sne Hund,.a DaDan (S 100.00) or fill)' Cerlh (.50(1 p~r nul,.. wMdlrtter I,
~t.al.r. il ,he car I. not re'urned 10 Ihe original renloJ a fleD willlOulllle writlen
c:ruen' of Ownet: .
,\3 e:!perues incurred by Owner in 1111, coRacllan of nlollios due OWnl!f per
lhis ogrUlnel1l. or in ,epai,liIl9 pa".ssion of Cof or in enlc,ting en)' lerlll or
c:ndilion of Ihi. aqrwem.td. Induo'"9 ollatn"Y'" loa, end cosh.
. Ccmuge 10 ,enled CCf if Oa:lnogu Waiver Is nol pUI"c:hasecJ or does lIaf apply.
. ''\AGE TO RENTED CAR: !Utller b respnn,,'LI. lor and agt'eoe.lo pay 10 Owner
:, ~du. of 'ltflacintJ mvJ{or repc1.ing an laue, and dctnog'" 10 Iho '.nled cur
. "on of usn during Ih. p.':od iI [s IJI'1O'I'ai1obl. (or ,enlal usa as measued by
"0." rmlol value at mnliug 0 ,eploccfT"ffll cor, regardlan or roull or negrrgenco
. ."!f!1' or any penOl1, and ,egOfdtnn II danltJues me a resull 01 nn ncJ o( God.
orr~1 aud Renier oqrr.as 10 P'IY un ,JC1t',iollP1"cm (or DAMAGE WAIVEr"
;.~e'flKl 01 ~ deduclibr., on ""'m's pu!icy. and on uddilioncJ UlIlOUIII" lit!! 10'uJ
.: dedudibl" and 1110 oddiliona' omou,,1 wiD nal exce'td .s I.OOO.UO. Renier
: ':porttlbl. and il alJligol~ 10 O\yner lor aa damago Gnd (osts hi ""ten of
~ 7,J and ogoees '':1 FrQ'~" a doim 'ollis Inlurance ogenl/canill!r (or oa such
~ 'IU Calls. Rell'e,s Ifmll'onclt 1s r.liUIClY, I)umogu Wai~ does u(l1 oPllly If 1110
0;", a, ir I".ler ar d,ivt:f loift IIJI or ,af.."" In IIIuLo I') 'rl-'url 01 clomones I"
:'''n law"" oUlhmiliet, ar 10 eo~r II." c"uj" tl"magas. ^ ....;olulioll 01 al'lY
:i I'st, o9'Iemcmf lnvciic1cles Comage Waiwo:t:
':i:ILY INJURY/pRorERry DAMAGE RESPONSIDIUTY TO TIIIRD PARTIES: If
:. ':lh~ olJlhorh.ed driver h in cenlprlf2l'-=~ ..,.,ill1 ail prowis;ons of IIlis ogteemetll,
:; '!.NI!!~n 2S and 70 yecn old, OWllr'~ linondolll!sr-?nt~,iJi'y e."oncl, '0 RenIer
j..~.r d,i~Itl, named an 1M, oo,eom'en' cJlId (:ppt~d by O\Vt~1 IeI' Ihird pOlly
'.:~"~"9 from Ill. US" of Ihe car rn recrJiIlHJ by M"lar VIlI~de Minimull1 Fincnei:.:f
. :l'ill' laws al Ihe sloht wlle,e Ihe cor is aperel-.d, usJen Ihis aUICJ~m~1I1 u,quiflu
. :~ p.0"t101t SiKh cc'W'ercge.. Reult:r is ""pOItSib'e fer d'oruCJge or Iou 10 I=rcpe.ly
~:;:JYOl'lnlhecao:
:-.~UREO NOtORlsr pnOreCtlCN: U"ttl,uau Mr1IOfisl r,ol.eft"" i. l"!ill,r.r
:, -d, ~ F,~idrd 01 pOt.1 01 1I~1 ~91'!~neIlL :telller e"FIC!s~y eyre!!s 10 ....ui;e
. :: wm \lniM1\11ed molo,." proleo:han "oln OW't1e( ,
.;.:.;.N:'~ ACCICENr IN:iUR^NCE (rM): P". caes r:of C::"\'~r !'liuJ pctties fer
.1 t:r II1f\11'llS. COYtrDge ls Smiled 10 ,limbun!'''9 Renier. dri....ar, or pau"'~fI
cchmt rolir:"l , .
9. QWNEj('~ f1N..\tH.'::,\L Rf:i'LIl:',UILlU, L:I'ILES,j I,.All "E";'uj(H:~, aCES Nt,;,f
[:<TlHIJ TQ: .
(ul ~,jUli'n 10 III" n,'"I,.,. elll.,M. 01 pUl1ClIl)cn ....1.10 litJilllJ in. u[i~lll;111J fr'7:n'
en"'li"CJ or OIlIClllr.d cor. .
(oj (joblily iwpoleu up"" cr 0S1lJ1Il0~ uy onr:"e vnde, any \OrCrkCr'. compen.
.olion ad. plClI, or ccnhod . . .
(eJ Bouily injlJlY ~r J>loperly dOlnoOI1.occunillg wlr.1lJ Ih. car Is ulau os 0
cOlnrnen:ioJ velllcla cr lot Q eornruefClol putposa . .
(d) Any plOprr'y owned or nml.d by or in I'" core 01 ,he Renle!;
10. Ac::tidcnls must be ","metflQ'e'r RpOI'lcrd in wriJlng 10 ,'', omu Whef.llll. car 'Hes
rcnlad ond .... any o.,enl wilhin 2d houn atler Ih. ~C(jdenL Renl", or d,iY~f must
inllnl'uJ'lU'c'y d.Uv., 10 lite Omt" "ont 'frhr.nt Ih. wl.do wes Nnlnd e....,y prae'1SI.
p'ctfldiog 0' paper ,elolina loony doims. ."ill and p.ocl.amg" tho RenIer ond d,io.,~,
shaa nol oW any daimonl bu' HKJ4 cooperol, fuOy wilh Owner in all mOMelS CQulIKlad
wilh any do"". or suils. '.
11. If tI~le it ..,idenco or viclcltolt of any poYision or 11M' agreen~nl, RenIer o9'e~s
10 lnclctnl'ir)' OwnCf' ror aD Ionos. JantOglt. call.. oud .'J,ur",.s paid or fnculletl I:y
Owner resul'ing "am II.., "perallon 01 the car and RanIer wiil p,eserl! a dainlla Rcnl.r'1
nsuronc. (OrTler for such 10..... damoge.. cads. and up.mos. II R.nler ha, no insulD\ce
10 coYer .oid Iou. Ren'er O{],att' 10 pay Ovrnltt IOf' aa such 101les.
12. AllY prolection ,.Icrnrd 10 in Ihis ngrttmlleul 's lIull oud 't'Ofd .. MGAtea. Ralller or
Ol'rfl'l'or IlIu,1 ablein OWllar's wrillen p"!flllissiOl' and pUfeho.ff speciul .nunonca plic::,
10 enle,ing J.Ao.ica. .
13, VIOLATIONS OF TIlE CONTRACT: ^ violalioll af 110. conlrocl sl.<>1..;.I " Iho
cer is uled or el, ivcn:' . .'
(u) ',viclo,w," or or,)' lo,m or ,aridiliolf of II.. ogreentRflt
(bJ By any penon vndar Ilia Oge 01 21 wilhou' Owner'. wrillen pelll1inioll, or
by anyone who hos gi'W'1!" a Iicltcioul name or (aIle ago or cdJl~n.
(eJ fer any iiJegoJ purpola. in Q.f'OCO. speed cO'I'e". 10 law a 'W'ehit.le 0' Iroi1cr.
(rJ) Oy any person It lI~ft Is ,eosaltob'o nKlence Illey wer, under IIIII' inrluenca
of narcofia.lnlo.icollls or drugs.
(~) Dy OilY penen olllcr d1CD1 RenIer ..,.,ilhoul w,illen ccnlen' at O\."W!~
(f) Outside Ihe "010 of renlol wilhout wrillen conuml 01 Own,t:
(1I) Under ouI(,arily el any rieeme alhoer then his o....n. Renier ".'anlJ~h Illal Ihe
Kente shawn 10 OWller 0' IlnM Ihe Cel" ;s n:nled i. llis awn and 'uUy "r'Ciid.
(h) If renler or driver leu'W'r, Ihe cor unJCIC~ed or fa", 10 secure ,I,e ~erL
(i) Olhor Ihen a pavcd pulJrrc laigllW'OY. pttvnla ,ouo cr arivcwar.
m h a n:ckJr" or Irnp,udell' mannr:r or ir Ille cor i. dlll'hberolel)' dcnlOged.
(11:) Or if renler mis,epfetenl, (ue~ 'a Owner perlcini"9 10 ,enlel. USI!t. c, operalicn
at Ih. cor.
1.... Upon le,minalion of R"lllc,'s ,iull' 10 cpelale .cid ccr by ra'Jtcn of viatalion 01
Oily' cOlidiriOlUi he,ein .tolcd. Re'llef Dgl'aes 10 CIlIa": uli"g 'cj~ ca,. 10 nalil)' OWn(~r.
and 10 pay ail espenses incuuftd hy OWner in returning cor 10 proc!' 01 len'al and ag'a"!s
. OilY celllulued operallon 01 cur uflrr 0 .,;gIu,JOII is an (lpclO'illfl willloul Ille ~nowledlfr..
COf'SlWI or prnnuuion or OW,"" tlfuJ OWftm 1110Y 110Iily pu=te laid cu. hos Leen lIu'~:1
uKl Rcnler ",,'eolln olld Ji,c1K1fgr., Cvrll." I,om UIIY fiuuilily Cllel u~ c!oims"I cny nulUlC!
abing Illerelrom Ownor lIaS 1110 li9h11o seilo" willtou' l.g~11!Ioceu. Ot noliu fo RenIer,
said cor 01 cny.lime or p1uca OIlU Ilelller YfOives oil c10inu 101' demODe, c;unetled .....i'"
such seilure. ..
IS. RE"lrER'S INOEMNIIY 1'I~OVISION: Rr.nlr.r .I.oa dlllen.'. tnu'r.lIlnilrl and hold
O""'.IICf' hOflulcns ',nln n1l ~",r." liulhfilj,n. dUIIMIYf!''l. i"juril!!. clui...t. '}clnQtlut. c;0'11 Gild
r"pl'!t1'le. caunoclorJ .....illl Iha "uncui.,.. or usn 0' 1I1f~ Irnlcl C." including du~n' 0(. at
Gobililie.1 '0. Ihi,d pa,ric. c!Url 10 cbc::ndanmcnl. ccn...~"io". c;':'~eQtrllr:nJ, cr uneulheri:=,1
scl. of Ihe cor or conriscalion 011". cor by uo'W'ernntenlai oulhu,jly. rer an)' ulIJowll:J
or Improper use,
16" AU chOfges ore subie" 10 fitlOl oudiL
17. REN1E~ AUTHORIZES OWNER TO SllUt.\lr FOR PA"lME~lT '~E~lr ORD
VOUCHERS IF A CREDIT CARD lIAS DEEN PRESENIED AS A MEANS CI' OEPOSir
OR SECURITY AT nlE liME CAR VIAS REI'IIED. INClUW~G IF ANY lIimD PAlm
TO WHOM A BllUNG WAS DIRECTED REFU~ES TO MAr.E PAYMENT,
18. POWER OF ATTORNEY: Rmlft' hl!'''by 9,cnh and orroinh to Own':f 0 Uml"tl
rowe, 01 Mlutn"y In Pfesrlll i"wrallCl!' claifnl fer ,""opo::dy dOIllUgl1 fa Reol..,. 1:11"'O"CO:O
currier it lJu: ,ell'ed ....,hide is damuGed do,iug 'he lerlll 01 Ihis r~nlaj c1;'eement: amj
10 elKlorsa Renler's naue on :ntV1enee pOY'nunlt (er dlOt!;es or dcsncges.
19. II eny pn;)vis.ien of :Iws umh:l agree",enl is l,jl';awj\j~ c;onuory 10 r-ui:iic ;cn:,.. 'rei,;
or U',enforc:eobl". remaining p'C'f'isian. "101I conlinu. in lvillan:e and eflect.
BY REN'e.~'S "NO CWNS~'$ REPQESENTAIIVES ~IC;NATURE, TIllS PRCVISIO~IIS MACE .\ p.\~r OF 1l~~ nS;"f.\l AC~S:.\\El'r.
NO INSURANCE OR PROIECTlON IS PROVIOED L O...tt1ER. RENIER I'KUVllJe~ AllINSUR"N<:E. RENTE~ WARRANTS TIIM
'IEN10IAISSNA VrACD pcec" OF AUrO U.;sURANCE CO"E~ING RENr",l ven~ rCR CCllISICN, C;:Mr~E.'lEN:IVE. >>;C UAnlCT'I;
~ 0 AN ASSIGNED RISK.
VERlrJED:
..
OWNER'S RErRfSiFiiA.lYE
$I0NAIURE
.ACiHC':,.",,,,,
I
I.!..,..
. . . - '!:iFiiiAiiCITE'AJE
"ICNE:t.I:;"eE.~
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'OUCY NIlMau
-
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'-'
o CClUSION/CCMrREllfNSIVE
C ll"Dllli'(
o NOT AN ASSiGNED RISK
"
^OUICY
rE.'l:Cu C~N'tRMIUfJ
,1r...ic.l:;
"::l.mAt~a CCMI'A' IY
REHIU'S $I0NAIURE
_. - ----------.-..-...------.----.-
, ,
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1.~~1
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'" r"I C,'';': ;.;::
- -- 'f"" r. AE~TER
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, "~,,,;", ,I ",j II'" ',' ~,,,.,,. '.~
ENTERPRISE RENT -A-CAR
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AGREEMENT NO.-
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ORIGINAL VEHICLE
CO~{J~
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lICl"''''( 11I0
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CONDITION our 'N
ORiFDR
OR/FOR
OR,FOR
0 ORiFOR
-:'OOIGlASS
*':UNKISPAAE
. "'l COVERS Ol
00' E 1;, V. " V, " 'I. ~. f
" E v. v. 'I. V, ~i ~. V,
BILL ;"--'.;J""""'n
TO ____:...___-i: (;:.~ _!.:~.:...__.____.
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51
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.10 .'.. . ". ........ .. ...-..... .
....'........" ".. ......,....' 'l(
~EPLACEMENT VEHICLE
;;e','{a ::[I':~."f!. ......,. -'f. I' '" ....~-.... . . ~I'" ...~.. "'/ '.ft':
.lll~ "J..... ....1 rt .' . ..., ... -..... .... .. 1','
":::,:P.~ ....s,JI>....,r,[ X " .......... .., ..,." .........- -'0', ,-, X
REOUEST FOR PERMISSION FOR PERsor4 OTHER THAN RE~TeR fO DAIVE
'.:" II.:: ,'"Pi'> "J>PllO'~fC
~. !...t......'':{ "; "i"ll5E.'....'..(
~ ..'''' f' '.'"",,,, r"'.....",':~ '.' . "...
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PERMISSION GRANTED FOR VEHICLE TO LEAVE THE ST T
:J" CJO STATES . '- p
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;
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,
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TOTAL CHARGES
CONDITION
OR.'F OR
DRiF'OP
= OR'F'OP
OAJFOR
.. >:C.ulASS
-.~ -.KISPARE
':. -~ COVER~
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CLAIM INFORMATION
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AUDITOR'S COpy
. 11~"I/\lJI\C::,Jw r.I.,j.;IVl...\I..".._'..,..................__. I."............"......
". AWARE GF THE FGLLOWING TERMS A~IO CCNIJIlIONS CC~lCERNING
~: CF TIlE; ,((HIC:\1'lD ,\CC:I"T~ FlJtl ~ESi'Ot-lSiOllIrY t'ERe:tI. T1~t t;::lIhocl
"nl;,,, ogrf"f11C'nf belW('rn RellllH O1MJ Own.", II it 09"'l,d Ihol Il1l!to ICfllI' all'
c"",c/ cr.J (onnol bo oUelt'd by m..."IM'f tlc.('~ln""1 01 Ofd UI,U!I"tll"lIl OWl":'
:-0 ....01'10111;.'. cllpen Of illtpr...J. RCIllIN aulhuu,", OWllc',lu vt.'tlly 1114'JU91..cle\J~1
i..., ct QII~, toun:e. penonol Dud Clr.dil lu'm",olion pfO't'tCle,llJy Reulei'. 'WIl.. .t
~Uo!ll(e of this o~'~emC'nl A. UtcJ hc.ein .cor- meuu oulofllQLiL" WJn or INC!..
~, ',.,~cnl owne, or owne,. ~p"!St,"loliv~ .
C' '{hERSflIP, CONOIIION OF OR, TERM Of CONIRACT, USE Of OR OrER.'
., '..:r: VEHICLE: Renier odmowlrdge. 'fe1~dQ I. Ihe pmperly 01 r7Wnor, oJlhouyh
!,'!d Iii I. ~ be in a lhird party, and cx,knowledga, h. NteNed car In goat!
,I end me<ha-KaI ccndillon.--
f\.'1"II., ogn' to ..."''" car 10 OWI1"r In Jon", cendHen a. received. on ,elurn dule
r:;1 rwftU' Of upon d.mand of Owner, orcfwoy .,.,.or and leor occlJpled.
~:::nl", ogr... nol 10 us. car fet Iromp",'ollcn or pen~. ~ ~Of1etly for hf,e.
~,. 'I poncngen ir InKk Of 'ran b renl.d. nor VJ' ccr Ir\ vtOkillOR of any low.
;;'~'J or regulalion gOYetning Iha USe or relum Illeraof, nor reR1O'l'e it f,oll1lhl! Slalc
'!.--l 'HiI!.ovf Wtillm cOlUenl of Owl"!,
:' '2NIEll EXPllESSlY AGREES 10 rAY 10 OWNER ON llEMANO:
l.;j The mileage dKJlgo compuled 01 ,ale Jpedried Ofl Illtt "evena lor nu1es
i rra....l.d bY CtlI' dUfing lho per"", ar renlaI. ,
i:: i Servin and lim. dlorge. a' ,ai, Ip.dried on ,even. piuJ oilier d1CJrges if
I appIkobf.. """ if a btIIing Of Jlalm"en' h'tent 10 allY nlllr.r conl'''''Y'
"d'Mdud, or .'U./I'Ot1C. mganimHon, Sanko dlonJ". "'ICIly indlld" a tUfC .Jlgt:-
1 wllid. ~p"J.nh a porllofl 01 '.remos Own., Incurs In Iho ,eul,,1 01 each CUI:.
I 11JOle d~es are calculolad 01 a pe'crfllgge of maaa!;". "",e and cLq)
d1Ct'ges.
I:) Th,...due 01 linn, lools end accessorie, losl at slcle" ham cor.
1,1 a.. Hv1>d..d Oolar.(S 100.00) 0< hal Ie.. Ih,," 0... DoUar IS 1.00) pnr cad,
" . r.otJf. twhi~ I. greetler, In cdcJjlion 10 aU ol!ler dtorges, II.. cor is ill
t, ~onession of Renl., II Ihe odomeler Is diJCOMe'Cled or lempered ","11-
,~; Any rIM 01 ~gaI"'tololion aoa;rullh. car, driver or OWMt' dUlingllais CDfI'rud.
r ~. 'lJupl rot Owner', loult '
t: J A On. end On,.Holf rl'rten' {I \Ii::} per moulh <mrying ,.llOlye 011 aD d.orgrt
f tlO' paid willlin lJUtty (30) JO)"I oller Ihe tnd 01 Iho ,efl'oL .
h en. lfund,od Oolan (S 100.001 or Filly C."" (.50'1 por ".1., "'/,reh....... i.
'1.1 ~.oll!r. illhe car fJ no' ,elurned 10 Ihe original renlol a fleD willtout Ih. wrillen
censen' or Own~ .
t,; M e.,penses incur,ed by Owner In II,,, coRoeUan or "'othOS uue Owner per
f Ir;J agrument, or In repo~liflg possession or car or In enlorcing any lenn or
I ccndilicn of Ihis oqrecmen'.lndudinq ollonllty', lees end cosls.
F' Oomuge 10 ,enled car Ir Dculagu Waiver Is net purchcued or dces 1101 oFP'y,
i :.' MACE 10 REJ'-I'fEO CAR: Rllller b f'lp,,"sj~r, rat and C1grl!~S 10 pay 10 Owner
; \'cluB at le~lodntJ rrnd/or ~paj,i"g aD 1011ll'S ond dornaglJ. 10 Iha ,enl.d Cto"
-IOU 01 Vln CUlir"J Ih. petlad iI is ,mavailoble ror ,enlol ule as f114tCtucd by
.j., ,mlcl 'VOlue of renling a ,eplacetnoJul cor. ,egO'l01an or fcult Of negngence
~nlt!1 at on)" penon. nod ,egoUnrtn il uanWfUcs nre a fluul' of '111 net nf 0011.
. oller. ...J Renl., agooo. la I"'y UII .,.),&,;",..J I.. r", DAMAGE WAlVEll,
ciicvod of any tl.cluclibr., on ,ente'l pulicy. and on utltliliorKd UllIOUIl'. 111l.! folul
-"'I cllla'ucJibl, and 1110 additional amann' wiD nol .JCcnd SI.OOO.OO. Renter
'~!pofllible and is obligoled 10 O\vner (or oll dontoglJ ancJ COJh h1 IIJlcen of
. ':0 end Dytees ,':) p,auml a doim fa llil r.,u.rronce agelll/co"i~r (or 011 such
, .,,\eJ cOlh. Renler'1 ,"'UIJOIICct 11 plullory. ()urneg... Woivc:t rloCJ Ill'll erply i( 1110
.~l!'", (lr ir ,,,,,let 01" cl,f.....,.. foi" 10 or ,er""" 'I') lIIetl.O a '''purl 01 clamones In
.. ~Ih("r tawhd oulhOfiliel. or 10 CD'I'!t' II,,, chuin dtlmoges. ^ "'tolul$on of auy
, "; c/lhil egrnmC!n' in'll::licJalfS Damago WoiYet
:;CllV INJURV/PRorERIV OAMAGE RESPONSIDlUTV TO TlJlRO PARTIES: II
-: -:Ih"!t' olJlhorired driver a in contpl'ItJIlC' ."illl on pt'IJ'Iisionl of Ihis cgleemetll.
': !h'O'!m 2S ond 70 yea,. old. O"'"t!r's 'inandol,aJfoonlil)ir.ly eJllands 10 Renier
l 'r dlNen named on Ihi, Qu'e~nlfld U1MJ Cl'pt'M!t by OWI.r,r rer thud pcrly
.:".:I~ frcmll,e us" a( Ihe ccr ." 'ett':i'17eJ by Molar Vltl.de Mi"ulI\n'1I Fiucftcbl
":,u!y law~ of Ihe Ilole wiler" Ihe c~ b opercl"d. urlcJS Ihis ayeaemell' frtC(uitl!'
. ;0 1=rO'f"~e "M CC'fCfCY'" Rtlller IJ rdsponsibr. lor damage or Iou 10 properly
'!'1 by or n II~ cco:
. :!'ISUREO MC?10RIST rnOreCTlCN: U'1i".Utcd Molo.id r,olecllon it 1~1"r.r
'::~d'r ~r p'?Y'ned 01 pm! 0' llli, C191~~'nenl :telller e,.p,e,'Ily cgrees 10 ","uive
~ t.a'lm urwmured malolld plolediol1 ho." OWllet ,
. =.:C~..\~ ACCfCENr INSURANC: (rAI): P^I aOel roat C::-"~f !hilfj "orlies for
.. ~ cr "JUfIU, CO'fttCIg" Is Lnil.d 10 ,ctimbUtst'lg RenIer. drivar. or PaSUffKJ~U
~.t1bl., bloc.. cn, foCI "01 II~s t~'J,"cllll!T1i. end il ,ubiec' 10 I.nns cmJ ccOOlien; in Ih.,
cdlld flOliq.. .
9. OWNER'S flNAt"IC1,\L Rf:'i'l.:H:j;OIUf'f. Ul'llt~:. LAW "e'';ulRES. DOES NClr
E:<1tHI) T'J: '
(u) .Iju.inl 10 II", n"IIIl". 'd,ivrf. or plllle1'UC'f1 ...,Iilo ,iding In. uG~"'i"4J "'"111
en"~illY or 01' u:lIhu' cor.
(uJ UoUilily imposed UJll1ff or anuUle~ b)" onyon. under eny warker's campen.
Jolion oct. ploll. cr ccnllcd ' , ,
(cJ DoeJily Injury or plope,l)" dOlnoO" occuning .,.,hild rho car b usacJ QJ a
commerdol orehicla or lar a cOIJVllefciol pvtpOl1S. ,._
(d) Arry prap."Y ....ned at "",'.d by a, in II.. ca,. af Ih. Relll..
la, Accidvnls mull b"lmmatrlC'ely ~parlctd In wriUng 10 liNt offic. wh.... II.. cor wos
Jelllad and in cny oven' ."ilhin 2.( hours aile, fit. ocddenL Renlllr at dtiw,", mUll
....''''d'lUlely dewvctf 10 lIle ollic" rrem whr:nt It.. wllidct wat renlnd ."'ry Pf'OCllU.
pJ41'1ding or paper ,eloliny 10 OilY doimt. suils and p',oceed'mgs. tho R.nler and d,j.'t!r
shan not aid eny dOUnanI but shad coopaare Fully wllh Owner in ell mam.r. connKI.d
wilh ony doi,"s or suils. '.
11. 11 111'-1' (, e'lidcmca of vtololton 01 allY paVision of Ihis Ogretfl"!nt, Renier Qgre~s
10 incletnl.ry Owner fer aD Ionos. dofnogl,. co,ls. clld .'p."les paid or ,"curl.d by
Own.r rllsullillg flam 1hft "peroticn ollh" cor and Ranlar ."i11 p,eselll 0 dainllo Relller'1
Insunmce cemfer for sud. Iou." damagas. cotls. and ItlCpemat. If R.n.., has no insvr'O'IC.
10 cO'ler said Joss. Renier 09'CttS 10 pay Owner rot oil such 10lln .
12. Any palctcliol1 relerred 10 in Ihis ngrftmuenl b null arid 'f'Qfd in MeJlKa. Relller or
Ofu:tnlar n",,1 abloi" OWllor'l w,illell pO!ludnion a,d puchosa Jp.ciuJ trlSlnanclI p,ler
10 ,"deting Mollica. .
IJ, VIOLATIONS OF TIlE CONTRACI: A viol"lio" al II.. C,,"'I1lc! dIal! ..i., il "'0
ccr is used or dl iven: . ..
(u) ,. ...iololirJn or allY 'emt Of' cwllon of Ihis oglC~emetlL
'bl By any penotl undor Iha og" 0' 21 wilhoul Owner'J w,illa" pemunfon. or
bY anyone who has ginn a licticious name or fatle agCl or OdUI'US.
. , (c) for ony megol purposo. In c;II. raca. ,pe.d cOlllell. 10 low a ...el1ide or Irailer.
(tI) By OilY person I' Ih"," is ,eolellOb'ct evidence tliey 'l'ttr. \llIaer I'.e tnnuenca
of IlOfcollcs. inloJlicollls or dtu9t.
(eJ Dy any ponon aliter Ihon RanIer wilhout w,itlen conJent of OW,"'t
m Oulsid. the slala of renlal witl10ut .....,illen COilS ell' 01 Own.,
(yJ Under authority cr any licen,,, olher than hil own. RenIer WOffQ~h 11101 "II!
Kel'1le "lCJW'n to Owtler 0' limit Ihe c~ is tenled js lu. 0'M1 and ruily 'r'Ctd.
Pi) If ,enler or dri...er '.,,'We, ilia car Uldoc~ed or rO"' 10 leCUla III, ~eys.
(i) 01 her Ihan a pa...ed puur.c higll'MlY. p,imla rouo e, ciri....wo)'.
OJ ., a recklen or illlp,uc1etll monMt or if 111ft car iJ der.beroltly dcuJOgecl.
(te) Or if renler misrepfluenls rQC~ 10 Owner perlainill9 10 renlel, UJe. or op.,alicn
of lh. car.
14. Upon te,minalion of R"'IIC1'1 ,jU'll 10 cpelal. said cor by 'a'JJc:'f1 o( violalion or
gny' conditiON I,.,.in slalad. n.nler agrael 10 ceo.., uling Jcid cc'. 10 noli'y Owner.
c:mCJ 10 pay o~ ..pensa. incumtd hy OwflC' in 'elurnlng CCf 10 "rcc. of ,enlol and 09rQ,",S
, allY conUuued orelatlon o( cur uflrr 0 .,tofullcn i, 011 orctollul1 willlouf Ihe ~nowledllp.,
couseul Of" pm",usiofl or OW'N'r (lnJ OWl1m I1IC1Y '101iry pu;ca lait.l cur 1101 been Jlu1'1':1
unu RenIer "."coses clld Jl,chCJfgn, OWtlCI' "0111 CJl1Y ttuIJilily alld un claimJ "f any ntllVICl
orbing Iheutr,on\, Owner has UIO tighl 10 Jei/e. wilhoullfg~r ~'c(en. af nolit. 10 Renier.
said car at onY.lime or pluco andllen'er weiveJ ua c1ainu far demago, cc"n,cf.d wilh
sudl JellUl'C!. ..
IS. nE,..UER'S INOEMNlIY l'ItOVISION: Rr.fllr.r Ih(J~ cJ"fCII,J, mf!fnnifYI and ha:J
0"0"11'" J.ofllJon IU'lln "lIltlt,r... rlCJlhiilittt. GUIIWIY'!1. t"juri"l. c1",ill", delllatUh, cadi o,..J
e.pr.tnes cOllnecled ...ilh III" I'uuenion Of usn 0111", "mId c.". ~Iduding dui,"s of. c::'
GobililleJ 10. llll,d porties duo to obc:ndollmcn'. C':l",.rdcn, ccn~e=1""ml, er unculho,iuo"
Jal. ollh. car or confbcalion ollhe car by govcmnlenlel oulhu,i,y. ler ony unlawh:1
or Improper UJe.
16. AD charges are subjed 10 rinol cudil
17, RENIER AU1I10RlZES OWN1:R TO SllUMl1 rCR PAYMENT CREDII ORO
VOUCIIERS IF A CREOII C\RllIIAS BEEN PRESENIEO AS A MfANS Of OEPOSIT
OR SECURITY AT TIlE liME OR VIAS REJoIIED, INClUDU~G IF ANY 1I1IRD PARI'I
10 WIIOM A BIlliNG WAS DIRECTED RHU~ES TO MAr.E PAYMENT.
10, POWER OF ATTCRNEY: Rmlln' h",,,by groult and OEroi"ls 10 Owner 0 Urnt'I!oj
rower or ^lIorn~ In pt'('srlll imllf'OlICIl' don"t fur f1rcnt!rl~ c:amogl) 10 Rcnh.r'. ;:-1Iurcnc"
cuuier if IluI ,.nled ...-eltic!o it cJCf'lU'J-::d dl.ni"y Ihe le1l11 01 Ihis lonlai agleemenl: craj
10 endorse Renl.r'1 nom" on trISUtCItC'lil pO)'1nunls ror dlmg.s or aoocges.
19. n eny p~visrcn cll"i, ICllld agreeOlll!nl is unio....iui. c:nnllccI 10 puenc pa~;i'. 'rci,.i
or unenforc~bl.,. remaining pun.isians sid conlinue &n rw leree and _"ecl
BY REN'ER'~ "NO CWNE~'S RErQESENTAlIVES ~IGNATURE. 11 US PReVISiON IS MACE ,\ P,\~I CF ll~:; RE:-II,\l AG?E::SoE/';;.
NO INSURANCE OR PRO/ECTICN IS l'ROVIDED L OYl~IER - REI~IER I'KUVILJt. All INSURANCE. RENIER WARRANIS TIIAI
HE lIAS A V.\L'O PCL:C'( OF .IUIO U'l::UR,\NCE COVE.1ING RSNI....l Ve:::CU: fCR CCUI:::CN, CCo\II'RE!1EN:iVE. .>.i';C UA~ll!I'(;
ANO IS Nor AN ASSiGNED RISK.
VERlrIEO:
.,&c.;i.'~C':' ~~..\,Y.E
I
~
OWI'4[R'S REI'nESENI,\nVe
$CNAIURE
PIICNe r,l.'/~eE.:l
"t'"
PCUCy NUMOU
" . . - 'E:tP!~Mi'iCFi'O""'E
- ----------.-..-
(;:,
. '.,
.~
o COlUSICN/CCMl'REIIENSIVE
C L:.\OIUn
o Nor AN ASS/GNEIl RISK
~OEtICY
rE.q:'CN C~NrlRMU'n';
"fdli.1~
tJ!;IJR^,,'O C~Mr"., fY
REHlEiU UCI'.f.^IURE
IIA t~. "-,"
.------.----.-.----....----
:1': ~::..: E~
f ,-1 1 =""'l :-:.,.:\:..
'1'--=-,:'
... - ~~:
r':~
~;E
t:"F:
c;u
~;;>:~:.
O'lYI';-
C!:C'~EL'\
; ~ ?;~~~:
;....,.\.,r-.
'-I....'.
ENTERPRISE RENT -A-CAR
TU
~H
~:'I
8:(1':',.., 6".'.'
e: (('l:~' 6 ~ ':
e:tY;':i-12:1:
; -~: :.\';,': rr:;: .
;L, 1~.~IE.~:';l=:-:':':H'I:
::C,:...:,t;:~ 3'.'JL'_E"
lo..yS~.
..Co..
1<:
.......Il,.r.. . r-", ~I "w.
ORIGINAL VEHICLE
1;:,,011
:".1,.
l'Ll"lU"II)
:'i::.~71.3' I:'
U'i'"
-- "'7 ~:il -,
CONDITION
OAJI=QR
OR/FOR
ORIFDR
~ R DR/FOR
--:'OD1ulASS
-.~UNKISPARE
:. "L COVERS
.ju! E 'I. v. ~.. V, ~. ~. ~'. F
'''I E V. v. :II. VI ~. ;-. 'i. F
our IN
1EPLACEMENT VEHICLE
.r:f"',("",
.....
',l'LE
."uE
'N
our
ORIVEN
CONDITION
DR/FOR
QA.FOA
OR;FDR
= OAf FOR
our IN
"O'GlASS
':~I~:SPAAE
.< COVEPS
., E I;. v. ,~ '/1 . ;'. 'I. F
.
E 'I. " 1-', 1/, \1 'I. ~. F
I
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,.
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."
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" 0
. -:~ u
,- T
RENTAL
T'P[ "
RENTER
J [1= ~ :~: ~..
',d,'IlL(.
r..::":j:'_
,",
AGREEMENT .NO.
.J':."~ 1';'
." j-
o
,~ '.:'
Ull(~
t,j-
t: 1,', ~~'. ~..'L
f:,"':'''
".j"" ""0..(
..., t",'.. =,.;.. :_':; -.
. -. - _.-
AUOJl~lo.! _
:,::r~ '.
::: r..;::::~ H'
l:; =
';11'1 ""0;'1
~'.~""?:::l-,:~<'j
C'"
EFCiJ/
tOCAL A01?{l1~S
.Ji\-i1,....'" 'Sol. ~''';-.1
tlJlIVfJl..,llrt,.<'E
CI:']~:~l;~~e~~~e~~
Dna
"":'E.:/4C
\.:.(;....~ 'U':~IlI" .
C';'! F !:_E
!io""L I'"
:i1 ll.~~t
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,,'''>It\
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t....
1. .,.1;.,
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Wl'~'"
1 ~ ;,;.~
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;~;. :.
'r :'~l'~!~:.\
L)
1;:,:.
BILL r---" ,~..."....
TO I._.ll .".:r-.: ~.-" rl:'i:...CF-+i'
,,;IOlln,
2:""" H1LH:_w:~C' I'~CJ=TFIr-l! :.,{..r".
c,t,
j.:lU'ES-E'f:;SFS .F.;
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t.Ei.:; J..~ S L:'::'C'~. :'J
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:'
. :,-;',:
... - . '-
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.',
JlLPI'IJl
Jlt"lt(II"'CClP'S ('."'" .1""- .1')vI'.~ "."., H......f .......
o........CO( ('J ~"'.'~.""II\"Q"''' ...~.r'!.........
Jl(S"O"lSle,~I"" X 1\ ...... \11 'f.I-" ....\ I",~' .... ....:' X
11(...(11 Cl':.'''(!. iE..'n, ....'I. _'j..u". .,-..c.... . :~.~...' ..,..-
P(JlSO"lAt C:.~.. ...~l .....' ::l.,.t'If'~ .... .. .:..-1..'
...CC10t"tltoSUlI....C( X ...;lJr "Do...... ..."...\ ...v '-1 -. r' .f." ....1 X
REOUEST FOR PERMISSION FOR PERSON OTHER THAN RENTER TO DRIIIE
1II'.'f"
~ot "'''lIC UlillS\ ","PIlO'Yt:.
eyt'.ff:IlIPIlIISf5"(."(St..",.,..t
".Q""I! (.,.."t",,~,"",n"'" .. .-
';~',>~:~:c," c.C' ,,:,'
:'Tl-'::F::
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Auf ~.:t..u..O
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, I ~ -"IlGl
.: E.; r r=.'..
.... .'~ \l......."r.(
...
. :_......... '." ._....,.....~. _.j'; .-.f...... ...~....~~l..'....,... ...~.... ....
. '" "" ..' .. 1..... .'~ ...... .'. '. .'." -.... ..... . ...., ..~ : ,.,' ,. ..~ ". .. . ." ". .;... .. ..
.....j.,....;.....: '.....'.;... .:........"'-1"..00...'.....'. .'-..' .,.....-.....,....
;.......-.'.....;............,.
X RENT"
PERMISSI
elL]
AUT.. at
E...reRPPISE S FlEP
N GRANTED FOR VEHICLE TO LEAVE THE STATE
STATES ....... e.
..'''.,~~
TOTAL CHARGES
',.
. .' ,.... NO GASOLINE REFUND". ,.DAY MINIMUM .
. I HAY~ A[AO AND "CAU TO Tttt UIUoIS ""10 COI\IDITIONS Of'( 10TH SIDU OF 1"150 AOII([..(NI
M' 5ICNATUII[ euow IS COl\l~ID(II[D TO HAV[ eUN MADE; ON ANT APPLlCAS~[ CIIEDIf CAIIO
. VOUCHEII AND l AuTHOIIIU (I\IUII'IoIIIS( TO PIIOCUS SUCH VOUCH(II fOil ADVANC[ DEPOSItS
AND C""Rats INCURR(D SU"II[VUS[ fOR llAB'L1TY flUTlIlCIIQHS
DEPOSITS
:mE~~
ENTERPRISE
PE" X
10'"
r
REFUNDS
'fu\.
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><
, ..
---~...._....
"MQUlj'
c,:,'e
:~ '.~.f:);.:
CLAIM INFORMATION
~' .:u
.....'
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')'="f
. '.
'.,,~,
AUDITOR'S COpy
cobl" bio<.it cn,let" of 11,11 (,'ljlll'clIu:nl. cno II ,uCjecl 10 lemu cnu ccncihcns in Illl
Cellini rdir,.. .
9 OWr-~En':i flNAf'IC!/,l Rf::I'Ltl:i;Olllf'l. Uf'llES::a "",.. riE....;ulltE,S. DGES hul
[:0[1'11) Tf): '
(u' .'iuli~, 10 lIu, n....Io.,. <<IIi...,... Of puncl'9cu ....Iil" rjuilllJ in. uli'd"tilttJ r'''IIl,
erd,.,illlj or olllC'lIle<<1 cor. ,
(uJ Ual:ilily irnpOIlHJ Uflf111 ~ O'~UlTla~ IJ)' anyotle under any Welker's campen.
Jolion oct. plcu. or contrect . .
te) Baudy injury or pto(1f!fly dmnoUl! occuning ",1,,10 rha cor b. useu as 0
commercial "relwda or ror Q convllCfcial pU'POSl!. ".
(d) Any p~pl!r'y owned or rented by or in Ih. car. 0' lhe Renhu:
10. Accidenls mud be mm:"rlOrely ~Oflad tn wrillng 10 Ihe emu ...hfte Ih. em WOI
,01l1eJ and in any llvenl ."illv" 2,( hours all., Ih. Qccid..,L Renhtr or wi....., mu,1
inMUII!ul'Ulcly d.G...., 10 lite oHic;., Irom ""hr... Ih. whidll was rcnlnd .....ry proc.'n,
PQQding Clf poper ,clglinU 10 OilY doim" Itlilt and p'roceedin9~ lho Ren'er and eMlllt,
,hall not Clid any doimanl bu. shoB coopaale ruOy 'Mlh Owner In aU mome" connlH:!ea
wilh ony doims or suils. '. .
11. If Ihmlt It evidence of vioJalion of any pO'lision of Ihi, cgretlll~nr, Remler agrees
10 indmru.ry Owner for om Sanas. daruogn. cosll. olld '.'pen'" pOld or Iocullea by
ler nu1es Owner resulling Irom Ih" f";Iperalicn of the car and Ranier WI~ pnneu' a claim 10 ROilIer'.
InslKtmCI cOffeer for such &on.s. domagcts. co"s. and ppettlct. If Renier has no tnsurcnce
10 cover said Iou. Renier agfa'" 10 pay Owner fOf' 03 such Iones. .
12. Any polaclion ",Ietrad 10 In Ihill no",mnen' rl tlud and votd in Me~KQ, Renlar or
epetnlor mud obfnin O...,,,or', wlilfc:tl p",mission alld pUlchasG 'puiul illSUI'anca FI :or
10 Otdering MoJl.ico. .
I J VIOLATIONS OF mE CONTRACl: A ..,!alion ar II.. cenlllld d,aI1 ..i,' if Ih"
ccr i~ used or dliven: . .'
(uJ h vielat"'" of allY IC"lI Of ccndiU,,.. of II., ogreent,ul
(b) By coy pm-SClI undor Ihe age 01 21 wilhoul Own,,', wrillan penniuion, cr
bY anyone who hos given a raclicious nane or lolle 01311 at od"'IO!~'"
lei rot allY ategel pUlpal.,. In ~.mcct. speed cOlllell. 10 low 0 ~e1u"'. or traitor.
(cJ) By ony penon if Ihcnn ls reosonabllJ It'Yidence Illey were l1IK1er Ihe inrluenca
ar narcolla. inlclticollh Of' mug"
(eJ Dy OilY porsan ollu~1' Ihall Renier wilhout w.illen consen' of 0''''101'.
(I) Outside Ihe slala of retllul wilhout wrlllen CCIUIlIII of Ownll~
(yl Under aulharily 01 any licem. all"!, than his o....n. Renier wolru;lh Ihel Ihl'!
Kense shawn 10 Owner at lime Ihe cor is rcnlcd js hi. own and ruily 'tend.
(It) If renler or dri'fer Ieu"c, Ihe car unJoc:~ed or lait, 10 se(\If. 1110 ~ey"
(i) Olher Ihen a pa'fcd PIIUhC highway. f'.i't'C1IO rouo cot d'ri'l'ewc)~
mho redc.lass 01' L1'1puJtJcll' mennei' or if lite cor il deliberalely damoged,
(Ic) Or if renler miSl'plesenls fuch; 10 Owner petlcir.it'IJ 10 ,enlef, use, cr ap.fclien
of Ih. cot.
lJ. Upo" lerminclion of Rmdcl's fiUhl 10 opefole said cor by rC'JIC'n 01 ,,;Oralia" of
cny' ca.tcUlioru lu!rlltn slolod. Renier ogfCteS 10 cea.e usillg soia cor. 10 nalify Owner.
and to pay on IIllpen.as incUllltd hy Owllt'r in relurning cor to tJtac~ ollenlol and a'2fOo'!s
. allY conlinued erelolion 01 clIr uUrr a ,,;gtulion f, on Clfll:,"tiufI wilhoul Illlr ~nQwletlllr..
comelll or pP.flUltsiOll or OWIH'r uuJ OWIt':f l1Iay lIolily pUKo laid cur 1101 been lIur~:"l
uuu RClller .claascs ouel Ji1CIIUIYr.. Owner f'OIII Ult)' ttulJilil'( Cllt.! uJ] c!aim,,,1 eny lIulWI:
Cfuing Ihe.el,en\. Ownat' hos Ilu, Iiglll 10 sebo. wilhoulleu':.4 ~'O(cS1. cr nolite 10 Fen'er.
soid cor at any lime ar pluca crud Itell'er wai'f'u all claims IOf demoDes c:,,"ecled wilh
such SOilU1'e. ' ..
IS. REt-UER'S INOEMI'JIlY l'ItOVIS10l"I: Rr.nlr~r sll03 dlllc,,,I, tncJr.l1lniry, alld hajJ
0""11'" IlOltfllcu l.n'n nil ioU"". rlUhililirn, cfUII.IY~"', i..juril'!'. dui",.. ,1t''''Ou,''. co," QwJ
CJlpl'!fI'\e' CClllfloclcu 'will. lha 1""SCnie.. or usn 01 II... lalllcl c~ including r.Iui.ns 01. Of
Gobililie, 10. Ihi,d perfle' duo 10 obendo"m"n'. con.e"icn, ce,",(C'~in'el1l. cr unculhc,iU'.'
sol. of Ih. car or confiscalion of Ihe cor by govefnnl,nlcl aulhcrily, fer any ultluwh:l
or Improper use,
16. AU ch0lges ere subia,' 10 fiflal audiL
17. RENTER AUlliORIZES OWNER TO SUUt.lll fCR PAYIoIHIT <:~E"lr ORD
VOUCHERS IF A CREUlr CARU lIAS BEEN PRESENIEIJ AS A M~ANS or DE?05lr
OR SECURIlY AT ltlE liME CAR VIAS REI'IlE[j,INClUr!U~G IF }.NY liMO PARI',
TO WHOM A BllUNG WAS DIRECTED REFU~ES TO MAr.E PAYMENT,
10. powe.q OF ATTOR....EY: Rllnl", he,l'Iby 9'01\" and cwroinls 10 Own,:, a UfT\lltuJ
ro.....er of ""orn"1 In pe,.."l in,,,rollce dollnl Fur I"'Dnefl~ .1011I\:9" 10 Renl..,s i~su'e"c~
cuuict il Ihe ,ellled 'f-.hido is uOIIKtUed dt.rriutJ Ihe lcmn 0' Ihis lelllei ostlr.mcnl; anu
10 ,udors. Renler's nOOle on ltlSUlCIICe poyn","" rer tI101l;1' ar Gerncges.
19. If any pro'l"i~en of lhis u:n.ui agru01l11!nl is UIMawiui. cnnflery 10 ':UCdC rC~;1' "ei.;
a' utlcnron:ecbl.. remaining plD"ilions shQ~ conlinue in rua larce end ,ffect.
BY RENTER'~ "~'O CWN~~'S REPQE.ENTAIIVES ~IGN^lURE, TIllS PROmlCN IS hlACE A p,\,1[ CF ll~E n~~II,IL AC;:~..\'.ENr.
NO INSURANC: OR PROIECTlCN IS PROVIDED. OVmER, REI~IER I'HUVllJt. AllINSURANr:e. RENIER WARRANTS UlAr
~ENlo"'ISS N^OI'T"CNO PC!.:C'( CF AU 10 U'.:URANC~ CO';EJiNO R~NrAL VE:IIC:':: rCR CCUlSICN. C::,\II'RS;E}l:IY=. AN~ UAnlL!:'I,
~ }. }.SSICNEO RISK.
~ ,\'t'/.\RE Cf "'E fCllCWlhG tB,l,'S '-1"0 CeNOmel-'S CCI'lCE.:\t'Ilr-a;
'::: ':F illE ',(jJIC:'f'ID ^CC:i'TS FLU ~ESPQf'olS;[!llITY .IE~E:~' fbi, (=I,llllC!
,.,.,Iilll. O!l'l!rmcf1' b"lwC'1!'f1 Rl!l1lef oU4i O....nft'. II is aU' end Ihu. till!'" If!I'"' e'l!
:.....d cn,j tr::l,"ol bo ollr.u.d by n'l'll!"" dc."llfl..nl or Old 1,;41"""I1,'ul 0....''':.
no WOIlflllli... taP'." 0' j"'plil'!u $lc!lllrr fNIlltJtitns OWller lu n',,'y 1I11uucJI, crt'~hl
',U Of oll~r louree. pt'Ilanol om' c,,,wl III(owlllion pO'l'icled hy RI.:IIII:1'. Tilll" i,
~11''1K. of litis oCJ"l'crnC!'nl AI ullld helein .ccr- meum aUIOlIlOu.kt. 'WJn or IruCk.
~.' tl1~CI1' owner Of' OV'Oner's rr.prl!lenlolh'l!. .
-, 'nIE~IIIP CONDIlION OF GIR, TERM Of CONtRACT, US[ or OR orER.'
! cr VEHICLE: RenIer ac..ncw'Cldges wllidQ is Ih. pmpefty of owner, cllhuuuh
,;~ lill. may b. In 0 lhird porly. and odulCWledge, h. received car in gooJ
" .n<! m.duWcal condillon.'-
:.~rli<< al)'''s 10 nth"n CCl' 10 OWl",r In Ian", condillOlI g. received. on relum dule
,~ I rllftn. Of' upon derr-md of Own"" crdinory war and lear occltpled,
.': .~:l~ 09."S nol 10 01. cor for hamp",'allcn or penons Of POfl,"ly for hiro.
C:'"/ pon~ft' Ir buck or wn is renled. nor v.. car in vioktlian 01 nny luw,
, :'! cr 'equJalicn gO"l"llrning Iha USIl Of" return Ihereaf, nor remtJ'f'! il 'Ian lint Slola
,: :: '",ilhout 'IVIillen coment ar Ownr.c.
::'Ile.~ EXPRESSLY AGREES 10 PAY TO OWNER ON DEMAN\):
I...;j ih. mile09' dKJlga compul,d 01 ,ale specified an Ihe .Ieveno
. 1"""I.d by <<IF durin<] lho pfliod al "",at .
~",..iu and lime dlOtg., 01 ral. Ipecined an ,eVII"e pius oll~ dlC1fgt'S if
cpp"lC;abl.. """ If a bilJ'utg Dr tloh!"nen' h" .eu' 10 (IllY olltr.l' canl""...'
"cfrvidual. Of illuronce OIgoniml~n. SOI''l''ka dlOnJoI ntoy incl,td" a surc ."g~
whk.h ,.",ellnls 0 pCf110n 01 eJll"emes Owner mUll inlho relllnl of eoth C~
Thos. dJOfges ore calculolod 01 a pefcenlcge of nu1aug", Ii,ne and Wel)
(herges.
iha YeNe 0' Iiras. tools and acccncries lad or 'Iollln hOln enr.
e". H....,d Don".. (S 100.00) Of he' !.ulhen 0.." Dan", IS 1.001 p'" eet"
hour, wndvtver II gllloler, In cc:fdilion 10 ell alher dtorg~.. the CCI' is ill
1\ J:onehion of RenIer If Ihe odomeler Is discomecled Of lomper.d will\.
I:':~ Any rIM 01 legal ,,:alation cgainsllh.. ccr, driver or Owner eMingl"i, cClllrucl.
~'uClpl '01 OW'Ilt'r'. fault .
_ J: ).. One and On,.Half rerc.en' (1 1t;!:1 per molll" cnnyil'9 rJ'OIye on on dKJItJc.s
nol potd wilhin Ihirly t:JO) do)', oller th, ,lid of Iho renlaL .
Cne Hvnied DaBeus ($ 100.001 or Fifty Ce'1h (.5OCI "o:r n1l1,.. wllichltver is
!;Ieal~r, if Ih, cor t. nol returned 10 Ih. Cfiginal renlal 0 fica wilhou'IIl. wrille"
consent al Owner. .
.\~ e."Ip~nses !ncvtred by Owner in 11141 concclion or ",ouios dUll Own'!r pcr
I.... agrumelll, or in It9aj"ing possession 01 cor or in eufolcing CII)' lellll er
ccndilion olllli. aqreemcltl. Induaing oUorlll'y's foas end co,l"
QomuglJ 10 r.nled car if COlMag" Waiver is no' pUl'cha.sed or does flal r.wly.
,,',\AGE TO REf-nEO CAR: Re'lllar is rttptJnsiLle fOf end ogrl!~' 10 pay 10 Owller
. . "folve or ree10cinIJ m1fJ{or tepai,;ng a~ lanes and dotrlog"s 10 Iho renled CI"T
"IOU ef usn c:fut~ Ihe period il it 'lI1C'l"Cilable ler renlol US" as measured by
... ,enlol value 01 rr.nlillg 0 reploccf"f\fJ1I1 ear.,egcndl<<tu of (oull or negrlgencc
.~l~ or ony perlen, nnd .egmtJ1nn il donltJ!leS nre a resull of nil nel nl Gall.
..' oHen and Renier agreo' la P"y un 'JC.1.~lio,lt'Ir Ion rlY OAMAGE WAIVE:If,
::'iO'nld or any rI,dudiblot en ,,"lm', JlCJlicy. aId on uddilioflfd ulltnllfll. tilt! lolul
.': deduc:lible and 11", oddilloflol orner,,"' wiiJ no' exce4!d S 1,000.00. Renier
~~pcrISlble and h our.goled 10 en'l'ner lor am danlago anel coli, In e~cess of
:} end ago!!e' l~ platen' a daim la Ill, Insurance agcnl/cofl'H:r fal' a~ such
:",0 COIIt. R"II'ar's ,"wronce Is pluno,y. lJurllogu Woi'fer doC's IInl Cf'lf1ly if ilIa
. "!,., or if ."tder er el,i",:r loils luor ,clm"s I" IIIll1ln! rJ "~r.'url or clarnana. I"
l . .,11,('f low"" oulllClilicu. or to c~r II", c!loin cJ"mogas. ^ vfolulioll of CIlY
1- .:r Ihi, c9'urnont in~ndoll!lS Oema9'~ Woiw:r.
: : ::LY INJURY/PRorERry O^M^Gc RESPONSIOILITY TO !II1RO PAR!lES: If
1 .;: clh'!f oulhCfiz.ed driycr is in con'prll':lllC:! "",ilh oa F",...isions of 1I1i, ogtemnenl.
I ~_ ~!~!!n 25 and 70 yeo!, old, O\'l',,!!,'s lillalldCllrl!s~ntihmly e. :deltel.!o Ren'er
1~' ",~. CII'fell nomed on Ih" agleO:"'flll (JIMJ OIJp4fJVetl by 0\'1'1"'1 ler Illlrd pCfly
l _.....'19 hem Ihe ute allhe cor "' re'-l':il'!d bY /'\'Jlor V.lndo Minilllunl Fiflcllci~~
;: "1 lCW'~ of Ihe slole .....lllI!f. Ihe Cel' is apetch,d, UI~C!lS Ilti, aureeruenl rl1qui..!s
1 - .;0 FrCV1~e "M CO'l'orc'dl!. Reft":r il r"spoflsibl. fOl' dculIfJge or loss 10 Ffcperl y
OJ or or '" Ihe ca".
"ISUREO MqlCRISr rROfECIICN: Uni...urou Malo.isl r.aleclion ilrttJiII,r.r
.,,'!.;. f10r provided as pml of ,It;, a9''!~I1'1l'.:lIl :t~"ler ellFresoJy oytees 10 ....(Jiye
':: t!uim unimulII:d n\Ola,illl'"olo~liolllra.n OWllfC '
-:CN:\~ ACCTCENf INSUR~NC: (r~I): PM co'!s not ~':'V.,~ !I,ild ;:crllp.s lor
:r lr'fVI'ln. CO'Iftfoge Is wlitd 10 relfnburs1ng Ren'er, dri'far, Of pasutl1SJ" s
VEi'lflEO:
.,
OWNER'S RfJ'RESU'UA'N'E
SlCNAIURE
.-CU4C:t',\.'Io'.f
I
I~
. . . .. 'E:trIRAIICt'l 0.-.1:
'IICNE r,I:i~eL.~
..,4,.
'CUCl NlJMeu
_. - -----.-----.--.-
{::,
.'. .
,-
o CCLUSIC~'1CCMPREII[NSIVE
(j L!ADILli'(
o NOl AN ASSIONED RISK
'.
",GUley
rt.q:cu CCNflRlAltnj
1U:..Hi.1~
1~:LlIM'a C::lo\rMIY
RENIEiU SlGN,^,VRE
IIA r" 11.'"
~ -~
ENTERPRISE RENT -A-CAR
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AGREEMENT NO.
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o
.'1.'" ~"'Ulf.l ~ ,r 1.1''''''(''1
It~"!. ~"O':.f
',1 -, -r;.:,.. .'=' ':.
'- 'I:"
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aO(JNI\s
:3;~ I:~
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.. M-'
ORIGINAL VEHICLE
0"'..., .......i
-t:2; - ....,
,
I
I
CtJ\Oll
i:;:.A'~
"'...[
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MILE
AG'
li'("~1 !lrf0
A~H ~e,':l .
u,." .
F'~~;~'7
r.d.
?h'~'~ Ll
local "DOIIlS!!,
::3 T.t.J;-:';~ :":1'/1 !r~t;5iC::
sr",.
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"10",
Ollllllll"il,,'r"Sf
r" ::~;.~! ":'6::'~:"~I='LI::
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'0.
.... ':. ":9
"'11"'"
DRIVEN
"It .t' ! ~ :t .'
l'U
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:i'J~I"L S((1,;II.', .
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,
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,
I D
~. OR/FOR
I .. A OR/FOR
r -~)OD/GlASS
I~ :~UNK/SPAR
! :, ~l COVER
I J OUf E V.
II '''' E v.
,
i
OUT IN
A':O T/.)':...:;::',
"
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. .'. ,
REPLACEMENT VEHICLE
BILL 0 Ul"..Io"~. _ .
TO T _'-':h:..'
IoOulll ~\
.:C:.r:o ~It:"Lt-':.~lr
I~I['..!5'q.:.l(-L. ':;'F:
C.'.
l.:H.~
:illolf
-.
(;~'('"
E ',4'.";"i:.' F 1
oUt..
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P"~"I
.,'
F
F
Ilf""EIl"'CCEPTS lI(lillA .''''f. .I;",,~ ....,'.. ;)......1 "I' .,.
g:~pAOO"ESIOIL''''' X ~ ~::.. ',',f'~; : "!"f 1:,;~~ :.~.c'~~\""'~;f~' X
1lf....f.OfCi,.llifS 1l\~'F .....,. ";.I~" 'I~..., ':C':I'" .."'.
P(iIIS0"IoL '''~I ., .':....If ,..,~..... .. '.._.'1'"
IoCC,efNfl'<SUIlAW:( X '.r..........,..u~... '-, "''''<;-'.'.'...-.'' X
REOUEST FOR PERMISSION FOR PERSON OTHER THAN RENTER TO DRIVE
1Il('"f.1iO
1lf...T("
'.0' ''-''lle lJ"LESS "PPIIOI/f.O
.' f"'EIlPIl'Sf S Ilf.""f"("'''''l~f
: '.~.n' f~t";I' I" ".'-'".0''''' ..........
'i
t], :~=.f;'~
SU~1
,.. CtI ~1J"':""'''{0l
".:01 ~ICt..\t "0
- ;;'H:::' .~ I
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.... e~'E .'
'I:' 1'0 'IJ \oi ... 'I, F =If".;:'.
.~: :.
'I. I.. V. % ~i h F EXT "".,' ~
TO Ct~
EXT A":!'1'L
TO rF
E-"'T t__ "'''i''',ll
TO "', ~
EXT A:':'
TO ry~ ~
ACOITlO',.!. ".'"Oq'-'AfIOt.
1.1""
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CONDITION
~. DR/FDA
":;'l DRIFDq
COR/FOR
::) DR/FOR
- :'OD/GlASS
-=.:r,K/SPARE
:."l COVERS
':~, E 'II
" E 'I.
our IN
~'.. '". - " . ... .. ......~ ......:... '" .. ,.., . ., t.... . . ........,'.1 .", Ii'.'. "'.. "1 ,. '..,..,'.
. . ..., .' . .' :. ,.~ .., .... ". "., to' .'~" ..... .1... .': ,'.,. ,. .. ~ ...... ~ ",. _'. 'i'" ,. ...
,.", . t..~.;.. ,. .~J ....... '';'" '. ,O' .~. '.. It.-..:..,. n. . '4. ... '.' ._.". .'. .... ...., 0.1 : '":. ...
~. ". . .. . '.... .;.......... 'I''''', t to .<' .;
C-' r AUTM Bt
X RENTER ~~\'"' ENTERPRISE S PEP
PERMISSION GRANTED FOR VEHICLE TO LEAVE THE STATE
DfJ s.."s
AU'" 8'
f"'fAIlA'SfSlIIE"
TOTAL CHARGES
" .'". NO GASOLINE RE;UND' 1 CAY MINIMUM
. . HAY[ RUD 10'010 ACA[f TO THi J[R.MS AND CONOITIO,,"S OJ(eOTH SIDES OF THIS ACII[EW[PlT
w' SIGNATURE IIElOW IS CONSIDERED TU HAVE IlEEN WADE ON AN' 'PPllCAIIl[ CREDIT C'RD
. \lOUCHER AND I AUTHORIZE EliH,AlllltSE TO PROCESS SUCWI/OUCHER FOR 'OI/AliCE O[POSIJS
AND CHARGES IHClJlI.lI.ED SEE R[\I[RS[ 'Oil ll.&lIlllfy'II.ESTIIICTFONS
DEPOSITS
x SOr i tl.;)~B')L\1
E"lrERPAISE
REO X
REFUNDS
I ~
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EMPL
.
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p:rr-=:J ~~t';. ,C~ C~1l0
RECE'PT I:OR CAS" RE'"u'lO
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CLAIM INFORMATION
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AUDITOR'S COpy
AW}.Ht l.t" Il't;, tI...LLl......\l'I\J It.:t/"l\.:l ,...1...... \.....I'tUli -~ll\.'_ 1';':'~~i'.il'V
~-.; ':F iliE '(E:'IC!: HID ACC:i'!S FUll ~ESi't:I'I$;i!lllfY tlE~n I, II,i. (=I"Hl~:
..1"";1" o~~f'TO('T1t b.lw~~n Reule, QtMl O....n"', It i. otJ,e,.d Ihol 111ft,,, If!flnt e...,
..~d t:1.J tOJ>rlcl bo ollc,t'd by nnlll!"" Jc.~lIn",,"1 or owl Ut""'~1II'1l1 0"".""
no wQlUuli.'.l!Jlp"n Of impliml ROil'''' aulhu.i,", O...,,,cr 10 'fl".l)' II"Ill1fJh ctCthl
~t Cf ollll!f 10\nU penonol cud cuulit ."'~rnl1~lio" IWO'\I'i<trtlIJY Reulet'. Tillll' i.
~1I"'f1(1t of Ihis ~e"~"l A, uted l1eu~n (Of meurll OUIOttlDL4~t. 'tU1I or INC..
.... m~CT11 owner Of' avwner', .r.pll!tenlalive. .
.:'IINERSIIIP. CONDIlION OF "\R, TERM Of CONTRACT. USE Of OR OrER.'
CF VEHIClE: RenIer a(~nowledgl!1 wllliclo I, Ihe prope,ly of owner, ohhuuylt
.' ;.; 1iI1. may be in a lhird party. and odulOW1.dges he m:cived cot In gooo
~.: end m~1 condillon.....
. ":".1., ogu. to retum C(l" to Owt"!f in sonwt ccndillon as recer.-ed. on lahlfn dule
. ,;" mot"e CI upon demand of Owner. ordinary .",.or and I.ar occltplad.
. :r:ler ogus nol 10 \11' car for hon!p",'aUen of pef1cnJ or ptcpl!'lly for hlll!.
~''f poncngefS If huck or 'fOn ls .anled. nor us. car in viololion of any law.
"~:~ or regvloltcn gO'Vt'lning Iha usa Of return lheraaf, nor mnuW it hom Ihe Slul"
..:i wilhout '<<Iillen comenl of Owt~
":-ITER EXPRESSLY AGREES 10 rAY 10 OWNER ON llEMAND:
.;j The 11\11'091 dMJlgo cOl'upuled 01 ,ole speciliod on 1110 .IOvt1sa fer miles
I"""I.d by ear d..i"y lhe period 01 ...,rot ,
S.rvic. and time dlCfges_ 01 ,ate rpedned on ,.....". pius olhrr dlor9e:! if
ccolkabl.., ""en If a billing' ex slalC!'lnft'll h'sonl to Ctny nllJr.t COfl'I'f1I1Y.
i1d'l'Iiduol. Of rntllonce otganilclic.., SenitI! dtCnJcs nlOr inchrd,. 0 lurcl""g~
.....hich rrplSenls 0 pOllicn of ellprnsas Owner Incun in Iha ,ellllll of coth cur.
Those dKJrglJl are colculalod 01 0 pe,c.ulag. of rnt1auglf, lim. ond c.Lcp
(hctges.
The 'IOlu.. of Ii,os. 10011 ond accessa,ies la" or slolen hem Cm".
0". Hu"dred DoDors (S 100,00) 01 holle" 11_ 0". Dob (S 1.001 P" .aeh
how. .....J.fcMyft' I. gl.ol.... In cJdllicn 10 aU oll1ef dtofges. IllIlI car Is ill
possession of RenIer If Ih. adom.let Is di,comecled or 'atl'lpered will\
:.,; Atrf rne ot legal ~;qksllon againsllh. cCI',driver or Owner duringll.s conlrue!.
p. Deepl 101' OW1\Cr s fault .
~I' A One end One.Helf rer,!!n' (1 ~H:J P~' mOlll1t cm'ynlg' dlOflJlt 011 on dIOlU"S
I no' peid willUn IIa;,fy (JUJ dO)'1 oller Ih. t1td of Iho ,t1l1ol .
On. llur<loed Daoon (S 100.00) 0' filly C..d, (-'0'1 p.' ",1., "Meh..., i,
~1.oI4', if Ihe COf Is no' "hnned 10 Ihe OIiglncl 'Inial 0 hco wil"oul Ih. w,illen
tcnsenJ of Owner. '
M e:'lpensls ;ncuued by Own!!t in 111ft collection or nlOtli'el UU., Owner pcr
Ihil ClJflUlnent. or In ,epoi,ting pou.nien of cot Of In cllfcllcing any lelln 0'
c.cndilion of Ihi! oqrecmellf, tnc.lud'mq ollon",y's fees and cosll.
Oomuge 10 lenled car if Oo1ncgu Waiver is not p",chased or doell1ol ClFply.
. .'/lAGE to RENTED CAR: RC1de, is ,et"nnSlule for and ag',,~slo poy 10 Owner
.~ vdu, of 'eelacintJ rrnd/or ntpc;,ing an Iones and dClnoglfs 10 Iho '1lIled cur
! "lOll al usn dvraMJ the petiod il is 'JooYOilobl. ror ,.nlol USlt as maasUlcd by
:'11I Imlol value of lr.nlii'9 a 'lplocCIf'l'!IlI co,. "gOlden of fault Of' negnge:nco
. !nl~ or at,y person, nod Ie:gou.llnss if danll'Jues ore a ,c,ull or nit nd nf Ciol'.
, oil... ..'" Ronl" 09'0.' 10 P"y an .,.J.~liol..J I.. r", DAMAGE WNVElI,
eiia'nXf 01 any deduclibh on "n!ru', pulicy. attd an uddilMxK~ cnunulIl. lilt! lolul
'"s dedudible ond 1110 oddiliottol amoun' wiD nol exce"d S 1,000.00. Renier
.~!pOllsibl. and is olJligorod 10 O\vner for ell donlO9lJ cnJ cosh in eAcen of
:0 end ay'Ietts I., p,cuml 0 claim 10 his t""nonee agent/cani"r for 03 luth
~"f<<J cOlh. Reule"1 IOutfotace tl p,illlo,y.l)onlOgu Wci'tCt doc! I1n' orllly if 1110
.."el", 0' if l"Inler Of c'livr.r toil, 10 or 10111"" It) ItllIl.O a 1f~J.'u,' at clOItlOOCI In
. ~Ih(', lawhd au,Io(llilies. e, 10 t~r !lll' clllJin d"mogus. ^ vialolioll of CIlY
. .E Ihil eS'.elnL'nllnvcliclales Ocmago Wci-...:r.
. ::ILY INJURY/PROreRfY DAMAGE RESPONSIDlLlTY 10 TlIIRD PARTIES: If
.-:; alli.,r otJlhorired driver a In CCfl'prWJnce: wilh oil FfI]vislons or Ilti, ag1eo:rnclII,
: !h'l't!" 25 and 70 yeo!' old. OWIIC". tinonciol losr-?n!ihilily e"lel1ch, !o Renle,
"'; . dllven numed on 11m u!J'e~n'flll Uti,) ollpt,,-.,e\1 by Owttf'!1 fc, Illl,d pcf Iy
::;'~''9 hOllllhe use of Ihe car ,n 'cq'llill!d bY '-'\I'JIOf' V.I.da Minimum FiIlCflti-:.:1
,;" I!Y law! or Ihe slale where Ihe Cel" II opCtChtd, VIde" Ihis aYlcenltnlllJflui,,1S
., ;0 pIO'I',?e \'AA covc,ogl!o Reldur 11 "upolllible for dOllluge 0' Ion 10 Ffcpelly
. :'J by << " Ih. ca~
I'lSURED MqlCRISi' rnOrEClICt-l: U"itl'U1ed MrJlolisl r,oleclten is 11ciIItr.r
;:~.j.":,,' pr~lded 0' pal.' of 110.1 nqt"!'E'tncnL :telller e~p.csvy ey'ees 10 "'uivt!
: I 0 c.!uint unann.lted maloml ",oloo::lIon ham awnee .
:-:CN:\~ ACC1CENr INSURft.NC: (rAl): PAl doe! r.el t-:-..'!r ~hiul ;:crlilts fo'
" :1' .')VI"" CO"t'Wfoge II ImUed 10 rcimburpfl9 RenICl'. driver. or POUet19"s
oc!ulll ru1ir,:" " . .' . -
9. 0WNlil':i ru,.""(l,,:'l.\l Rt::i'\...lj~luILII'{.lJl'll[$.J LA," "E~lJIRES. O~ES 1'1t.:J1
C:{l[loll) T(.1: .
(u) Illjwim lu 1111' 1I,'lIlt.., (1Iiv",. or pllneltlJ~u .....Iild ,kJ~lIJ in. Ur'1Jllli!lfJ f'l:'""
enh.,illtJ at 011 u!IIIr.(1 co,. ,
(1I) Uo~-ilily ilf'lpoled Ul"lII t"f Ol~U11l0~ lJy an)1'lI. ",ldar any \IItOlkcr, ccmpcn'
solum oel. Flail, 0' ccollett. . ,
(e) Bodily Injury 0' plOpcrly domoglJ oCC\1nillO ,..h,1o Ihe car Is uletJ us a
commerciul vellida 0' fer a CCIIUIlClciol P"'POle. . .
(d) Any prope,ly owned 0' lenled by or In II.~ COl. 01 Ih. Renl.c
10. ^ccidcmls must be ,",motrraldr ~pOl'lod In Wf'lhng 10 II.. omca whltt'lll.., COl' wa'
lelllaJ and .... allY ovenl .",i1hin 2A hours anlr Ihe accident Aenler or eLiv", mu,l
W11111f!c1'JCJle1r deG'fet 10 .he alii,,, f,~ wit':"' IIMI whidll was renlnd .W'Y pl'Oc'"n.
ploP1ding 0' pope' IlltlolinU 10 Ollr dOIllll. s\.1111 and \:,aceedlngl. 1hct R.nl!!', and d,j,.t!'
shea nol aid ony doimanl bul shua cooperalo JuDy wtlh Owner in aD mann." cQluutdod
wilh ouy doiln' ar suill. '.
11. If IIw:t. It ..,idc:fKG of violaliCI' or allY pmisiol1 of Ihis ogle",":"', Renlor al]le'C',
10 iudcUll1ify Ow1tef' rar an Iosse:s. Jl1f1lOglr. casls, and e..penses paid or tnc\lll.CI by
OWller I.,ulling r.om II"t """olien 01 Ih. car and Aanler wNI p,ase'lll a claint 10 Rentor"
nsurcn<a conier fat such loss." domngos. cosls. and Ilf.peIllOl. If Ranier hal no Insurcnce
10 covet said lots. Renier nu,aln 10 pay Owner rOf aa IUch louds. .
12. !\ny prola~lion rafr.uoJ 10 ln II iii nQl'ftl!tlleul is nun olld .,o;d in Me"ica. Renlc, a'
cpCft'Jlor nlln' oblain OWI10,'s wtilll!tl p'!1I1MlSioll [lId pUlr;hasa 'petluIIIl1Utanc.e P'tc,
10 ettlc,iug ,'kll.ir;a. .
13. VIOLATIONS O~ ltlE CONTRACT: A violaliall,a' II.. cenlRlcl ~Iao ...h' if 11m
cct is useJ or dl i'fcn: .
(uJ ., violalit)R of any letm Of C~ -...diliou Dr II_s ogreemrllL
(b~ By any person undcr Iha age of 21 wilhcul Owner's wlillan pC!fmiuion, or
by af"IYCnllt wllO has given 0 ficticious naflle Of rol.e ogll or OdJI~~J.,.
(c1 rer ony ilIdgaJ pUfpose, in r;t.roco. speed conl.st. 10 laW a vellit.le 0' I,ailcr.
(d) By allY pcucn if II,,"n is ,eolollubl.. evidence Ihey were unde, Ilut influonc!!
of narcoUcs.lnlallicanls or &1.19"
(eJ Dy allY p'!fIon olllc, Ihon Renier wilhoul w,ille" con,enl of Owrler.
(f) Outside Ih. slale of relllul will lOUt w,illen coruelll of Own"
(y) Untie, aulhorUy cr any ticfm. all"" 1han hi, 0__0. Remler wc"u~Il' 11.01 Ihe
Kcnse shown to Owner 01 ItnM Ihe car is renled i. hil own and fuRy volid.
("1 If lenle, ct dri...e, leuv'" Ihe tar uldodlC:d 0' fa~' 10 secuU' lit. \tlty'"
(i) Olhll!' Ihan a pa...ed puL~c hiUII"MJY. p,ivn.a raud c, cli...e'l'l'or.
m ... a reckless 0' illll"udclI' mcnf\f!t' ot if ll~ car is deliberalely damaged.
(kJ Or if .enler mis'epletenlsluc~ 10 Owne' pertcir.irlg 10 lenld. UtI!. at opc,olien
of Ihe cee
1.t. Upon le,minolion of Rr.IlIc"s .iultl 10 ope'ol!! sokl ~c, by IC'JScn of violalion or
OIly' condilions h...in slalod. Rllllt!' ograes 10 cease USillg soid COl. 10 nolify Owner,
cnC:i 10 pay all ellpllllCS inc:uuftd hr Owlle, ill relurnlng car 10 ilIacI!' of leldol and 09'u~s
. OilY ccmlillued orclolion of cflr uUrr 0 'fiolullon is 011 Clrl'mliull wilhoullh.. ~nowlcclllr..
consellt or p~lltunial1 of OWIH... (lnd OWllI!f 1I1C1Y IKJlify puGca saki cu' has beetl sluf'!il
u,tI Retder ..:Ieascs mlJ JiulkJtYr., Owne, 'lam uny nuLilily OIlU un doillll .,r cny lIull"e:
Cluillg Ihe"horlL Owner Ilollha ,ic;hllo seilo. wilhoulleu':.4 proceS1. or noliLlt 10 Renier,
said cor at any "lime 0' p1uca cud !tanle, 'WCivClS on claims 'Of demooe, c::nnecled willi
such JeilU1e. ..
15. REt-UER'S lNOEMNIIY l'UOVISiON: Rr.IlIr" sllQ~ dlJ(rlllt inJr.tllniEYI al<<J 110;,1
O'll'\Wft' IMJlnJC!1I f.nln nn Ir",r\. rftJlhlilir!,. dumuy..,. ..,ju,i,.,. duiu.t, rJC!lIIolllh. cOllI Qlltl
t'lIp~ll'\lJ' cOllllaclcd wilh IIIC' I'UISCUiOfl a' uln 0' II.., Icnlol (.~ intlutlitlg t1ui.n' at. at
&obililll!s la, Ihird pctlics duo 10 eLJcllaollmo:n'. c~n't''!"ion, (':Ittcairuenl. cr unculhcliu..1
lole of lhe cot or conliJ~olioll of Ihe cot bf yovell1n1enloi culhurily. fe, any unluwf\ll
Of' improper USI!.
16. AU chOlgttl Cll! subject 10 final cudiL
17. RENTE~ AUfHORIZES OWNE~ TO SUUMlr fCR PAYME~IT '~E!:1lr ORD
VOUCHERS If A CREDII ",nu I \AS GEEN PRESEN I ED AS A I.IIiJl.NS Of ue?O!iI
OR SECURITY AT THE liME CM VIAS REI.IIED. INCLUIJU,G If ANY THIRD PARI'I
10 WHOM A BILLING WAS DIRECtED REFU~ES 10 MAr.E PAYMENT.
10. POWE.~ OF AtTORNEY: R,",It1' ho:r..by 9,onll and a[roinh 10 Own'C'r a UmdllJ
roWt!' of i\lIu,nI!Y In pt'1!1rlll imU'iCI1C" tlniln, fu, PIOl1"!t1-r t:Oll1uglJ 10 ReMI",'S lnlutcnc"
CUll ie:, if Ihe retlled 't~hido it dalllUlJc~ c1IJ,illU Ihe tClln 01 Ihis luulm O':i'etmenl; enu
10 endene Renier. nOOle on illuncllc: pa)'ullmls fet dlCl'li"s 0' damoges.
17. If cny provision of II~s Ic:nh.:i ac;;reen1o:nl is uI~o.....iui, conllcr., 10 pvciic reii;". "c:ili
er u"enrc<<eobl~. remoining p'O"lisiens sJtaU conlinue in (vi farce Gnd .IIecL
BY ReNTe.~'~ .AND CWNE~'S REr~SSENTAlIVES ~iCN^iiiiie. 1I11S PIICVISIC~IIS MACE A p,qr OF T:~. nS:'II.\L ^G?'s=.\',Sl'r.
NO INSURANCE OR PROIEC11CN IS PROVIDED. oymen. RENIER l'IlUVllJt' ALLINSIJR"N<:E. RENre~ WMR,\NTS lHAr
ti!:ANtoIAISS NAOV.\L:D peL:c., Of ,\uro U,;SURANCS CO.,.:t:NG RSNf".L VE,I:c..: feR CCUI~:CH, :::,\II'~:::I;;N:i./S. ...~;O UA~lL:f'I;
T AN ASSIGNeD RISK.
VE?Jf1ED:
OWNER'S REJ't1ESEttl'\IIVE
SlCHAIURE
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(iFPRAISAL FEE
rOWItIG. STOnAGE ~. NJ',;C"-l.Uli~I':u~;:; ,::YH,tl::;(
ADMINISTRATIVE COSTS
LOSS OF USE
lllMUIISHMENT OF VAl. iH:
SAl_VAGI::
W~!VE:R nEUUCTIUL~
POL ICY OEDUCTI:IILF
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Date: 03/23/93 03:16 P.",
Estllate 10: 303104
COlli tted
Profile 10: CUSTD"IZEO
PROPERlY DAMAGE APPRAISERS
P.O. BOX 2202 WILKES-BARRE PA 18703
(717) 824-3211
fAX NUKBER (717) 824-9331
Delage Assessed By: ~B~RT 8L~~.~44S0 Appralsad for: TOK JOHANN ENIERPRISE LEASING
..........~...................................................
THIS IS NOT AN AUTHORIZATION TO REPAIR,OR GUARANTEE OF PAYKENT, ALL
COSTS OF REPAIRS ARE THE SOLE RESPONSIBILITY OF THE YEHICLE OWNER, WHO
ULTIKATELY MUST AUTHORIZE ALL REPAIRS, NO SUPPLEMENTS WILL BE
HONORED WITHOUT THE PRIOR APPROYAL OF THE APPRAISER,
......................................................................
PROPERTY DA"AGE APPRAISER'S SPECifiES THAT ALL REPAIRS AND/OR PART
REPLACEHENTS LISTED HEREIN BE KADE IN STRICT ACCORDANCE WITH
KANUfACTURER'S SPECifiCATIONS,
....................................................1..1.....11.......
Condition Code: Good
Polley/Clsll I: P71417
Insured: EYA JORDAN
Type of Loss: collision
Kitchell Service: 918488
Description: 1992 OLDSKOBILE ACHIEYA
YIN: IG3NLS43XNK464248 License: AEH9800 PA "Ileage: 2S,Oll
Color: SILYER
Options: L-4 ENGINE, AUTOKATIC TRANSKISSION, AIR CONDITIONING, POWER STEERING, POWER BRAKES, POWER DOOR LOCK,
POWER WINDOW, STEREO RADIO,
Line Entry Labor Line Itel
Iilll!Jl!W.l12!... Operation Deserlptlon
I 806150 BOOY REKOYE/REPLACE WHEEL COYER
2 900500 BODY 'REKOYE/REPLACE 'TIRE L/R KICHELIN 19575RI4
3 900500 BODY .REKOYE/REPLACE .YALYE STE"
4 931076 BOOY REPAIR .RIGHT REAR DOOR ASSY
5 931076 REFIN REFINISH/REPAIR.RIGHT REAR DOOR A55Y
6 900500 REfIN'REFINI5H/REPAIR'8LEND RT,QUARTERPANEL
7 806540 "ECH ALIGN FOUR WHEEL
8 812380 BOOY REKOYE/REPLACE EXHAUST INTERKEDIATE PIPE
9 931079 BODY REPAIR 'LEFT QTR PANEL
10 812450 BOOY REKOYE/REPLACE EXHAUST "UFFLER W/PIPE
II 818980 BOOY REKOYE/REPLACE R fRT OOOR HANOLE BEZEL
12 828180 BODY REKOYE/REPLACE REAR BUKPER COYER KLDG
13 828230 BODY REKOYE/REPLACE L REAR OTR BUKPER COYER RETAINER
14 900500 BODY .REKOYE/REPLACE 'REAR fACE BAR COYER
15 933002 REf IN ADD'L LABOR OPR CLEAR COAT
16 AUTO ADO'L COST PAINT "ATERIALS
. Judge.ent Ite.
Part Type/ Dollar Labor
Part Nu.ber A.ount Unit
22576076 GK PART 70.75
NEW 77,00' 0,5'
NEW 1.75'
EXISTING 1.0'
EXlSlING 1.5'
EXISTING 1.0'
-K 2,1
22555246 GK PART 88.00 0.8
EXISlING 1.0.
22552905 G" PART 128,00 0,8
22582415 6" PART 9,4B
22548503 G" PART 16.80 0,3
22548243 GK PART 2,60
..QUAL REPL PART 148,00' 1.8'
1.0'
42,00'
ESTI"ATE RECALL NU"8ER: 03/23/93 15:16:04 303104
"itehell Data Version: MR_93 Copyright (C) 1990. Kitchell International
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Louis J. Rizzo, Jr., Esquire
REGER , RIZZO
656 East Swedes ford Road
suite 110
Wayne, PA 19087
(610) 964-0901
PENRAC, INC. d/b/a
ENTERPRISE RENT-A-CAR
6395 carlisle pike
Mechanicsburg, PA 17055
Attorney for Plaintiff
Attorney ID #68779
IN THE COURT OF COMMON PLEAS
I'
.
.
CUMBERLAND COUNTY, PA
I, LOUIS J. RIZZO, JR., attorney for plaintiff, Penrac, Inc.
d/b/a /En erprise Rent-A-Car, hereby certifies that on
~( t 'l5' a copy of the foregoing Complaint
was
.
.
vs.
.
.
MAY DEPARTMENT STORES CO.
250 Highland Park Boulevard
Wilkes Barre, PA 18702
.
.
No. 95-1007
CERTIFICATION OF SERVICE
served by first class mail pursuant to D.J.R.C.P. 1005(d) as
follows:
Michael D. Bart, Esquire
65 North Washington Street
P.O. Box 191
Wilkes-Barre, PA 18703-0191
Eva Jordan
322 151st Street, Apt. 1
Bronx, NY 10451
REGER &
ESQUIRE
BY:
00
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Louis J. Rizzo, Jr., Esquire
REGER , RIZZO
656 East Swedes ford Road
suite 110
Wayne, PA 19087
(610) 964-0901
PENRAC, INC. d/b/a
ENTERPRISE RENT-A-CAR
Attorney for plaintiff
.
.
Attorney ID 168779
IN THE COURT OF COMMON PLEAS
.
.
CUMBERLAND COUNTY, PA
vs.
.
.
MAY DEPARTMENT STORES CO.
: No. 95-1007
and
EVA JORDAN
38 Thomas street
Kingston, PA 18704
.
.
.
.
PRAECIPE FOR ENTRY OF A DEPAULT JUDGMENT
TO THE PROTHONOTARY:
Please enter judgment of default in favor of plaintiff,
Penrac, Inc., d/b/a Enterprise Rent-A-Car, and against Defendant,
Eva Jordan, for failure to plead to the complaint in this action
within the required time. The complaint contained a Notice to
Defend within twenty (20) ~ays from the date of service thereof.
The Defendant was served with the complaint on or about March 6,
1995 pursuant to D.J.R.C.P. 1005(d). Defendant's Answer was due on
or before March 26, 1995. A copy of the Notice of Intention to
Take Default was mailed via certified and regular mail to the
address where the Defendant was served with the complaint is
attached hereto as Exhibit "A".
By:
\
- j
,
re
..
AVI80 IKPORTANTE
USTED ESTA EN REBELDIA PORQUE HA FALLADO EN TOMAR LA ACCION EXIGIDA I
i
DE SU PARTE EN ESTE CASO. A MENOS DE QUE USTED ACTUE DENTRO DE ~
DIEZ DIAS DE LA FECHA DE ESTE AVISO, SE PUEDE REGISTRAR UNA
SENTENCIA CONTRA USTED, SIN EL BENEFICIO DE UNA AUDIENCIA Y PUEDE
PERDER SU PROPIEDAD 0 DERECHOS IMPORTANTES. USTED DEBE LLEVAR ESTE
AVISO A UN ABOGADO ENSEGUIDA. SI USTED NO TIENE UN ABOGADO Y NO .
PUEDE PAGAR POR LOS SERVICIOS DE UN ABOGADO, DEBE COMUNICARSE CON
LA SIGUIENTE OFICINA PARA AVERIGUAR DONDE PUEDE OBTENER AYUDA
LEGAL:
SERVICIO DE REFERENCIA LEGAL
Associacion De Licenciados De Cumberland County
Court Administrator
Cumberland County Courthouse
Carlisle, Pennsylvania 17013
Telefono: (717) 240-6200
~2'
7"
/"7/ ~.,~,
LOU~S~J~, R.PZO,' JR., ESQUIRE
1/ :/
cc: Michael D. Bart, Esquire
\'
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I.
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I
.
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,
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"'
COMMONWEALTH OF PENNSYLVANIA
PENRAC, INC. d/b/a
ENTERPRISE RENT-A-CAR
.
.
. SS.
.
.
.
.
.
.
.
IN THE COURT OF COMMON PLEAS
COUNTY OF CUMBERLAND
CUMBERLAND COUNTY, PA
I
,
I'
I
I
,
I
\
I
I
I
I
I
I
I
I
,
I
I
vs.
.
.
MAY DEPARTMENT STORES CO.
: No. 95-1007
and
EVA JORDAN
38 Thomas street
Kingston, PA 18704
:
.
.
APFIDAVIT OF NON-MILITARY SERVICB
Louis J. Rizzo, Jr., Esquire, being duly sworn according
to law deposes and says that he represents the plaintiff in the
above entitled case; that he is authorized to make this Affidavit
on behalf of Plaintiff; and that the above-named individual
Defendant, Eva Jordan, is approximately 47 years of age, that said
Defendant is not in the military service of the Untted states, nor
any state or Territory thereof or its allies as defined in the
Soldiers' and Sailors' civil Relief Act of 1940 and any amendments
thereto.
REGER
By:
Sworn to and subscribed to
be1;ore me this I :I'" day of
1-,,-,,'- , 1996.
~ta'.;y ~~~;~~.,
Nolartal SooJ
Ruth E. Maros, NolJlry P"bllc
. HovorlOld Twp., Dcl:r^"',} County
,.ly Corn!rh8Ion F.xp/ros Jon. 12. 1 MO
Louis 1. Rizzo, lr., Esquire
REGER & RIZZO
656 East SwedesCord Road
Suite 110
Wayne, PA 19087
(610)964..()901
Attorney Cor Plaintiff
PENRAC, INC. d/b/a
ENTERPRISE RENT-A-CAR
Attorney I.D. #68779
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY,
PENNSYLVANIA
v.
MAY DEPARTMENT STORES, INC.
and
EVAI0RDAN
No. 9S-1007
PRAECIPE TO SETrLE. DISCONTINUE AND END
TO THE PROTHONOTARY:
Kindly mark the above-captioned matter Settled, Discontinued and Ended.
REGER & RIZZO
BY:
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