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DOC 0000017427
Page 167
167 / 583
THE UNDERSIGNED owner,
Hcanvod to «*• *" L,
tSflos
|#s«t tH*
Ssnler
(end R«at«s employee,
if ony
Agreement Is entitle* to totKy participate m tha feonofita o
Us* Time
$l«mp> It*
».iv»
«
low
It Shew Time of V£HlCt
Renting end Time
of
Rctumlns Vehicle*
time in
la c$ssM«r»tfoa of tee covenant* b««{n c«ni»jne^ tee »n-
O'tTi^T, hereby tesssa tc tbl unJtfsilpi^ tl54b
th* tei fiij
f.>yar.>n fai and coo<iltioi!& feeiei-Q set eei« the ®»c-t«r
y?L5!i
b*r*l*after f*«*wed to « -Vehicle.” RENTAL
vehicle esscus-ea •««»*»« uri5u=«.«
.w ***~,
-
*
_v
_
jprr
m
(1) Raster Mfcwawlwi*** that s^:d
vefileSa
is the propfrty BY S
--
of OVaer aid that be iweired tt in good motban^oal e^nd ttoa.
- - JjA
JF
a
«) R^ter ajsef^ that tea wta retora ^4 T*Meie to Oweer*#
'
jf
station fxum which
it was routed. In the same ^mditiaa M
•
^jg*
he received It. ordinary wsar and toaf etcopted, ©a the Ktwu
W||.L RigSPjR
JBSf
date stated t?*?e of sooner open demand of Owner.
y
gar ~a~
-
(3) Renter sjpws n*it to ttse said vehicle tor the tras^rtation of perfiPS «Apj?»5BK
imnH#d* notto u*«
it in violation cf any Federal. State. Provincial or MufcleiP-j»-»dB{i*jSn
Mf'JSS&Sft&raTS Sura Sant; fiw to mm
It
tfsm. this igS «gf.
sent thereto of Owner.
•
-
•
•
i
.
*
.
4
(4) Renter being one of the assured tinder the insurant*: voUcf eowtor said rteige
.
the terS Sd eoSditions of said polls?, which by reference thereto ar*
:
»«*«}
thereof
end to comply with the terms and condition* appesrtog pnjhe_re*e*»t side herec-i.
(5) E*nt«r hotter wsWMly Mian to totomnltT tfc*
MT »n0 ^
1
—s*
ks» th* Tn«vir*r.c* Cozaeanv fcftc&eae ootojunes 0/ chafes susTai
TIME OUT /
MILEAGE in
mileage out
miles driven
DEPOSIT S
M^Bp? with
all
fpfsade a part
IM reenter xuitnes e-iy
™
—
and expense paid or incurred ^
Uafcj# tar tojuries to oceuranfcs
of said vehicle, to states where the law n^J^Ow^t ©r
of L#fa vehicle in Violation of any
of said vehicle or because of injuries or damage* r^ulttog^rom^e operama
,e
of the terais and conditions appearing es the rs¥gx?ee side hereof.
- y/
w «^«^.«g^**s^s
,sr»gsSp8£
*»« -hMe
.
.'.
•*«““« •»_»«««» <*
•ay of tea provisions of tbl* £t? wJJir’iS^ and wsmsuti#s lost of stolen fsora said vtltfcl*.
.
'
v -®
w* ** w »«•*' **“» with “ w ‘t'Sf ‘I*
m « a JZZXm** th.t Rmt« !. O0t m5 itmt. nr^i « «**"
o*»W » iw™« *«“*-*_
2$ZCS susi.a-iiseu
hid* for tojuries to oceur-ant*
fd vehie’e in Violation of any
Hhe ndile^e covered by said
vehicle
-HOURS ©
PAYS @
WtEKS @
i TOTAL RENTAL CHAR6 SS
DAMAGE
!
COLLISION PROTECTION
OWNER
BOX HAS BIEH ?NITIAIED ON BIHAU gF.P.YfM?'JAM
TOTAL CHARG ES
_
LESS
REFUND: GAS-REPAIRS
NET AMOUNT DUE
IMPORTANT
*ii
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