Hertz Prepaid Car Rental Voucher AMERICAN EXPRESS TVL SVC Please submit this voucher at time of rental. Customer Name Fax From Phone:800-654-3001 Hertz International Fax: 405-775-6770 Rental Information Res ID: #1 Club: Rental City: Location: Address: Telephone: Pick Up Date: Pick Up Time: WARSAW FRYDERYK CHOPIN AIRPORT ZWIRKI I WIGURY 1 STREET 22 6502896 18 JUL 2014 01:30 PM Flight: LO 0027 Car Class: Example: Transmission: Air Conditioning: Equipment: Return City: Return Location: Address: Telephone: GROUP M CLASS MERCEDES C180 GPS 2.0 OR SIMILAR AUTOMATIC YES WARSAW FRYDERYK CHOPIN AIRPORT ZWIRKI I WIGURY 1 STREET 22 6502896 Return Date: 15 AUG 2014 Return Time: 01 :00 PM Rate Information Rental Rate: The details of your28 day(s) rental are listed below. Less Adjustment: Rate Plan/Tariff: AOF TIC Prepayment: IT Number: 10635.02 PLN 3493.72 USD Your Prepaid Rate Includes: Unlimited MI/KM Loss/Collision Damage Waiver (LOW/COW) Theft Protection Value Added lax Airport Service Marge/location Surcharge l iability Protection to the Country's l imits Vehicle Registration Recovery /Vehicle Lic Fee Remarks: PREF AUDI A4 VEH Your Prepaid Rate Does Not Include: Refueling Personal Fffeas Coverage (Check avai lability at counter) Drop Charges if applicable Any Optional Services not listed as included Nonwaivable Fxcess The above items must be paid In local currency at time of rental. Prepayment has been charged to customer's American Express account. TerrnsandCondMons I Prepaid V s Ocala. Pate, are ',rani ....au antaDie an* arra to cnrynanno sm Any .4. .n ptonetpcnar cant 2 Pine exclude bib hen bad, * and diallOnal lealAnwOefalcidonto tenon soma, (Am sews alobcriai or.., Woo Apace f as Of *new ay croarews her sewn VW AnitamayOw m1006%44 E Wafted ferny's (amid De MOOD I X Clete°. mv al be DSO in< MD Y tni• at rerRO in bra, Mnentl, 3 n 1 On* (whines. a fonwanatit amount nay Ip i Ott carts ItOle