ADVANTAGE - LAS <br /> RENTAL RECORD MCCARRAN INTL AIRPORT Rental Record No. CJ <br /> 7135 GILESPIE ST LAS-142738 <br /> JADVANTAGE LAS VEGAS NV 89119 <br /> RENTA CAR' (702)216.7510 "�`�eE 17118 <br /> RENTER NAME: TO BE PAID BY DANE nME05/16/2015 03:58 AM �r office 16999 <br /> BRENT BOEHRINGER DATE TIME MILES 119 <br /> HOMF BUSINESS ADDRESS HOMEIBUSINESS PHONE NO, OUT 05/10/2015 04:19 PM <br /> 86123 BOEHRINGER RD 541 554-9105 VEHICLE No. <br /> CITY/STATE/COUNTRY ZIP CODE CJ4XO189326 FUEL OUr F <br /> EUGENE OR 97402 VEHICLE LIC.NO. FUEL IN <br /> EMAIL ADDRESS 7HOW262 CA F <br /> BBOEHRINGER06 GMAIL.COM VEH MAKE-rODY STYLEas <br /> DRIVER'S ucENSE NO. STATE/COUNTRY FXPIRES D.o.B, - CHEVROLET FCAR 2G1WC5E3XE1189326 <br /> OR 10104/2021 <br /> 010412021 VENIGLE TO BE REYUnNED TO(CITYISTATE)Loc.No. <br /> LAS VEGAS NV LAS 05/15/2015 07:00 AM <br /> NONE VEHICLE RETURNED AT(cm/STATE) AnEA&LOrATION NO. <br /> a°JJ cny spa LP LAS VEGAS NV <br /> All daily charges based on 24-(lour rental day <br /> You are responsible for payment of all tolls.We offer PiatePassrD an electronic RATES: <br /> system operated by PlatePass,LLC for use ONLY in CO,DE,FL,IN,IL, 000 <br /> ME,MD,MA,NH,NJ,NY,NC,OH,PA,RI,TX,VA,WA,WV,and the GREATER 11 . <br /> 9 MILES 0,00 <br /> SAN FRANCISCO BAY AREA.If you use PlatePass,PlatePass LLC or ATS will 0 HOURS 3.24 0.00 <br /> automatically bill you for:a service charge of$4.05 per day for the rental(including 0 DAYS 16.22 0.00 <br /> days that PlatePass is not used)capped at$24_.75 per month plus incurred tolls at 0 EXTRA DAYS 0.00 0.00 <br /> the cash or pay-by-mail toll rate(whichever is higher) as published by the toll 1 WEEKS 113.51 113.51 <br /> authority. FOR DE,IN,1L,ME,MD,MA,NH,NJ,NY,NC,OH,PA,RI,VA,AND WV: 0 MONTHS 0,00 0.00 <br /> You must use a transponder. Fallow the directions on the transponder to use Discount: <br /> PlatePass.FOR FL,TX,CO,WA,and the GREATER SAN FRANCISCO RAY AREA: TOTAL TIME AND MILEAGE: 113.51 <br /> Pass through a cashless toll lane to use PlatePass.IF YOU DON'T WISH TO USE OTHER CHARGES: <br /> PLATEPASS,use only cash toll lanes if available and pay the toll directly.Certain toll PAI-FEC 5.95 Dail 29.75 <br /> roads do not accept cash. If you travel on such a toll road without a personal y <br /> transponder that can be used on the toll road,you will be required to use RLP 13.95 Dai:y 69.75 <br /> PlatePass,or also you will incur a toll violation. For additional information, SLI 12.99 Daily 64.95 <br /> visit www.Platepass.com. CEC 3.75 Daily 18.75 <br /> LDW1 22.99 Daily 114.95 <br /> This Is a non-smoking vehicle.(f the vehicle is returned smelling of smoke from VLF 0.91 Daily 4.55 <br /> any source,you will pay us a cleaning fee according to paragraph 8 of the Terms RSP 4.99 Daily 24.95 <br /> and Conditions. <br /> OPTIONAL PRODUCTS <br /> LOSS DAMAGE WAIVER(LOW) <br /> You agree to purchase LDW. LOW does not cover all instances of damage to or <br /> lass of the Vehicle. There are exclusions. Subiecl to the conditions and exclusions <br /> in Paragraph 5 of the Terms and Conditions,we waive your responsibility for REFUELING FEE 8-99 !clot. 0.00 <br /> damage to or loss of the Vehicle. $22,99 Per Day X CONCESSION FEE 10.00 % 42.24 <br /> Reoterslnlll.'La STATE TAX 8.10 % 25.83 <br /> PERSONAL ACCIDENT INSURANCE I GOVT SVCS FEE 10.00 % 30.02 <br /> PERSONAL EFFECTS COVERAGE(PAVPEC) CLARK CTY FEE 2.00 % 6.38 <br /> You agree to purchase PAVPEC,the terms of which are summarized in a separate TOTAL CHARGES: 545.63 <br /> brochure that you acknowledge recelving. $5,95 Per Day X TOTAL PAYMENTS: 545.63 <br /> Renter.rNrIz.I. TOTAL REFUNDS: 0.00 <br /> SUPPLEMENTAL LIABILITY INSURANCE(SLI) TOTAL DUE: 0.00 <br /> You agree to purchase SLI,the terms of which are summarized in a separate <br /> brochure that you acknowledge receiving. This policy does not cover all risks. •+Refunds may take up to 21 business days to process,depending <br /> There may be exclusions for unauthorized drivers or drivers under the influence of upon your financial Institution. <br /> drugs or alcohol,no first-party uninsured motorist coverage,no coverage for <br /> passengers in the Vehicle,and other exclusions. Please read the brochure GPS#: <br /> carefully. $12.99 Per Day X VI <br /> Rent.e.tnhlals XXXX-XXXX-XXXX-7515 <br /> ROADSIDE SERVICE PLAN(RSP) AUTH#:062458 <br /> You agree to purchase RSP,the terms of which are contained in a separate EXP:XXXX <br /> brochure that you acknowledge receiving, Higher time and mileage rate or fee wil I apply if returned <br /> $a.9s Per Day x early/late or to a different location than specified. <br /> Renl.r.In]tldr! <br /> FUEL OPTION(FPO) You are responsible for damage to the rented vehicle. <br /> You decline to purchase FPO. You agree to either(A)return the Vehicle with the <br /> fuel gauge reading at least the same revel as when rented and provide a copy of a You may also be responsible for the cost of repair of the <br /> properly dated refueling receipt,or(B)pay us an estimated refueling fee based on vehicle,loss of use,towing,storage,and Impound fees. <br /> the fuel cost of$8.99 per gallon. <br /> X <br /> R-Iliest.w.. This contract offers, for an additional charge, a Loss <br /> GPs DEVICES: Damage Waiver to cover your financial responsibility for <br /> Tha use of GPS Devices rented from us may be limited in some areas due to collision damage to the rented vehicle.The purchase of <br /> topographical or satellite condilions,and some new roads may not be in the GPS a Loss Damage Waiver is optional and may be declined, <br /> data base. Your own auto Insurance may cover all or part of your <br /> financial responsibility for the rented vehicle, so you <br /> total open auth: 200.00 should determine the extent of your coverage before <br /> deciding whether to purchase a Loss Damage Waiver. <br /> The terms and limitations of the Loss Damage Waiver <br /> are listed on the reverse side of this agreement. The <br /> charge for Loss Damage Waiver is 22.89 $per <br /> You certify that you:have had the opportunity to read,and agree to,the terms The driver of the rented Vehicle and any passenger over <br /> and conditions of the Agreement;authorize us to process a separate payment <br /> card transaction In your name for all Charges;authorize ATS and its affiliates to five years of age must wear a seat belt. <br /> charge your payment card for Tolls, Violations, administrative fees, service <br /> charges and related fees;and accept or decline the Optional Products as NOTICE: Our indemnity does not Cover injuries to <br /> shown on the Rental Record. passengers in the Vehicle. <br /> Renter's signature ARR.NW121912-NET <br />