Free Supplement - District Court of Arizona - Arizona

Case 2:04-cv-00161-ROS Document 150-8 Filed 11/07/2005 Page1 0f3

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Case 2:04-cv-00161-ROS Document 150-8 Fnled 11/07/2005 Page 2 0`T'3 _

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_ MODEL ECAR# DRIVERS LICENSE EXPIRES HOURS @ Q
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IB" I I . I - - I I I gIEw;IEI\IIIAD%I(éLIrég5 L M RENTE - ?=?II"IIl?}I:I Eg_U £IQfI?’·A;I :I§E°m In IE"}: FIENTEH ,-·¤ if §
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_ I .· ' ET" I A N-]-ER RENTER EQU _1»=· ME --- - ‘ -‘* I PHO- REMTER .;I,. I Ni:
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_ ;.A¢’i ADDITIONAL AUTHORIZED DFIIVER - NONE PERMITTED WYFHOUT OWl\IEFI’S APPROVAL. § G ( 1
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E3 ‘ . STATE EXE _ - A 3 I
ET . ..... ..... . ... . ..
‘ `COLGFI LICENSE NO Who is under my confrbl and direction to drive the rented vehicle for me and in my behalf. I am respunslble FUEL GHAFIGE
_ for their acts whlle theyre driving, and ler fulfilling terms and ccndiliuns uf this agreement - ,.3 2.. .., 5.., II; 5 §.%_I l -
` ` ` EC I - _ dn _- W WI . I _ ~·~· -·‘?**‘·**<€ $»¢iI=:-"‘é7*~**·I·‘*-I"-"·t`g*· `-`‘ ‘ =***** ‘‘**** M A ·*=== ·· ·~ =·==-===- —-Ti ·-—- -~ T-- I
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I NTEFI_‘,,/ ‘ `-= -··“’ ‘ - ` OWNERS HEP ·‘ W II xM_X _ _ _ m e, ...... . .... . . . -
MILE- - ER SSION GRANTED FOFI VEHICLE TO LEAVE THE STATE OF RENTAL 3 * °
AGE. YE NO Auvxurlzed states el I1 eration AIJTH B A I I I
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. - - ¤.¤T I---- . . I . . OWN. ., ,. I. ZC Icy:} L
- I, II . , , I -. . TOTAL CHARGES i . I . I
_ EJRIVEN _ _ :e_ E; · t‘I_ · _ I, I {I; ‘ _ j
CONDITION AGREED TO X X E D GASDLINE EFUND- 1 DAY MINIMUM - ‘ I ‘ I `
. F- gI ACKNOWLEDGMENT DFTHE ENTIRE AGREEMENT INCLUDING RENTAL AGREEMENT:11cKET JACKET __ _ _1 __ x D _ M _ __ _ II II {M - II__, D IIIII __ I I
O O NI-ER E IHAVE READ AND AGREETOTHE TERMS AND CONDITIONS ON BOTH SIDES OPTHIS PAGE AND THE ATTACHED RENTAL - . § ¥
·· AGREEMENT; TICKET JACKETWHICH ES HEREBY INc¤RPDI=IA1·ED IN AND A PART OF THIS AGREEMENT MY SIGNATURE DEPOSITS ;" g . :
BELOW IS OONSIDEREDTO HAVE BEEN MADE DN ANY APPLICABLE CREDIT CARD VOUCHERAND I AUT!-IDRIZE OWNER ‘ ;. ·‘ Ii ¥ .
I TO PROCESS SUCH VDUCI-GER FOR ADVANCE IJEPOSITS AND CHARGES INCLIRRED, INCLUDING PAYMENTS REPOSED "‘"’“ """"" """‘""`T ""“‘"""i:‘-"`" “‘ T: T " T ‘*<·""" “§**·* * ···· "* *· ,
8 g I BY ATHIRD PARTY TO WI·lOM BIIELING WAS DIRECTED. SEE REVERSE POR LIABILITY RESTRICTIONS. REFUNDS J i I
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I: DU-I- E IIS lr'4 are 1.*2 Sie 2..*4 we F CAR BY ;;v.·'.;;·§i,ff;.·% ‘ ‘I;§L,e;··E_} _ I
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L IN E Irs 1.*4 srs 1/2 srs D4 Tis F TO 5 l i DER §iggI-Hg.; zi gi ¤`·;,”;?ji-'$?*‘ i BY I
- _ _ _ _ EXT. ADDT'L ` II ‘ I I I RECEIPT FOR CASH REFUND. g
jrgppgd yghggjgg - If Rgntgr TO DEB____ . __ ___ _ ,,,,,I.._........... .... .....-.·..--I.---—--··~~A ~~--- ···I-·-e.... _ I _ I
eteme vehicle during non-busi- EXT _ Aum _ g»;‘éEENI5..m............ AMOUNT.——;
ece hours or to any other place T0 DER RY X -—» —
- ‘ ‘ ‘ · EXT A¤¤T'L --- I
AIR IIT-·¤ **-9 R·¤I-RI {BFI-3* .0 Q -e., I
)¥·anCh’ Renta? IS rgspgnslblg wu ¤~;.--IIL.:.»-..::-----.-..*4,- a.‘~2»--1- -»<·AR..-*€~‘*»·-
. ADDITIONAL INFORMATION:
or any and all damages andfor gg; OR .
ental charges LIITIII an employee I
>fOvvneroheoks in the vehicle. INSU-
I ` LOSS ;
I ` I THEFF ACCIDENT
TENTER ACKNOWLEDGES . . .-...-,..5 NAME I
QENTER WAS INFORIIIIED
IEISI-IE MAY HAVE INSUR- new SHOP -
INCE POLICIES IN PLACE .-.» __ ..._ _ _..-... _ . S., I, _...-. I III I .__.·· II I, -
`HAT ALREADY PROVIDE ‘-=‘··`‘ = .... ---`- 1 . ¤ ..... .i. z .?’ -‘.. A2 1; ‘..‘ .- za`? . ; "’i'E°*“ ‘
'HE COVERAGE BEING S I II III II IIA II -
>FFERED BY THE RENTAL Ai§..iK2§.Z'l...§i‘%ILI.l?’i§.’é‘....i”i'sii" “’° E CUSTOMEBIQ-Q-PY . eg.?
I- . ·* ' I;° { . ”‘ .. ‘
EHACLE CDIIIIPANT. Case ..04-cv-00161-ROS Document 150-8~· Filed 1 1/07/2005cOII. A .. _
,,..2 _; MI ,.... A. Agent Spoke to F’oIicy# RSHTSTIS Insurance _COmp ._D__.__.__. .
- -. --—- V l'(`-I} -I:'I'1TF·TY\T`;C¢· `PP-nf-A-(-`nr Pnmnnnxr ’){1|'1’2 Ccmpany I~'&D I

Case 2:04-cv-00161-ROS

Document 150-8

Filed 11/07/2005

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Case 2:04-cv-00161-ROS

Document 150-8

Filed 11/07/2005

Page 2 of 3

Case 2:04-cv-00161-ROS

Document 150-8

Filed 11/07/2005

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