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    This document is a rental reservation confirmation for a one-way truck rental from D&H Rentals in Virginia Beach, VA to be returned to a Penske location in Arlington, TX. It provides details of the reservation including the rental dates, rental vehicle information, declined insurance options, fees, and a total amount due of $1,378.52. The customer is Jason Gardner and it notes the rental must be returned by December 12, 2006.

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    This document is a rental reservation confirmation for a one-way truck rental from D&H Rentals in Virginia Beach, VA to be returned to a Penske location in Arlington, TX. It provides details of the reservation including the rental dates, rental vehicle information, declined insurance options, fees, and a total amount due of $1,378.52. The customer is Jason Gardner and it notes the rental must be returned by December 12, 2006.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    13 views1 page

    CPUForm Servlet

    Uploaded by

    dingo_boy99
    This document is a rental reservation confirmation for a one-way truck rental from D&H Rentals in Virginia Beach, VA to be returned to a Penske location in Arlington, TX. It provides details of the reservation including the rental dates, rental vehicle information, declined insurance options, fees, and a total amount due of $1,378.52. The customer is Jason Gardner and it notes the rental must be returned by December 12, 2006.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    ONE-WAY OUT HOUSEHOLD

    COMPLETED RESERVATION
    CHECK OUT LOCATION RESERVATION INFORMATION
    D & H RENTALS (0707-22) Reservation 11086496-4
    528 CENTRAL DR. SUITE 102 Confirm # WEB0001061204210
    www.pensketruckleasing.com
    VIRGINIA BEACH, VA 23454 USA Due-Out 12/05/06 12:00 PM
    Voice (757) 463-7179 Fax (757) 463-0772 Due-In 12/12/06 12:00 PM
    24 Hr Emergency Service. (800) 526-0798 Created on 12/04/06 02:39 PM
    CUSTOMER INFORMATION
    Bill To JASON GARDNER
    1860 VILLAGE RD
    VIRGINIA BEACH, VA 23454
    (757) 839-5837

    Y
    DRIVERS
    Name
    NO HAZARDOUS MATERIAL BEING TRANSPORTED
    FOLD

    FOLD
    UNITS / OPTIONAL COVERAGES / MISCELLANEOUS ITEMS US $
    Description Quant Unit of meas Rate Subtotal
    6025 - 26' One Way Van
    Rate $1,539 - $100.00 / extra day 1,385.00
    P Discounted Rates $1,385 (Includes 10% Web Discount)
    NRA Discount
    LIMITED DAMAGE WAIVER / LDW $0 Responsibility *DECLINED*
    SUPPLEMENTAL LIABILITY *DECLINED*
    Rates $362.60/ month $90.65/ week
    PERSONAL ACCIDENT INSURANCE *DECLINED*
    Rates $176.40/ month

    HAND TRUCK ONEWAY RENTAL


    $44.10/ week
    CARGO INSURANCE *DECLINED*
    Rates $84.00/ month $21.00/ week
    $12.95/ day

    $6.30/ day

    $3.00/ day
    $0.00/ overdue hour

    $0.00/ overdue hour

    $0.00/ overdue hour


    12.0

    1.0
    %
    TRIP

    EA
    DISC
    140.00

    17.60
    -166.20

    17.60
    CO
    FURNITURE PADS - RENTAL 1.0 DZ 13.20 13.20
    ENVIRONMENTAL FEE 5.0 TRIP 0.00 5.00
    FOLD

    FOLD
    PAYMENTS & REFUNDS
    Type Tran Date Details Amount
    Card# XXXXXXXXXXXX3731

    CHECK IN LOCATION RENTAL STATUS TOTALS & NET DUE


    PENSKE ARLINGTON (6251-10) Completed by S.NODEN ITEMS 1,254.60
    3206 E ABRAM ST Entered at 0707-22 ESTIMATED TAX 123.92
    ARLINGTON, TX 76010-1409 USA Status COMPLETED TOTAL 1,378.52
    Voice (817) 640-9891 Fax (817) 649-2911

    Rates are subject to change until a reservation is made. A major credit card or cash deposit can
    guarantee reservations. If reserving by cash, a $100 deposit is required to confirm your reservation at
    least 48 HOURS before you pick up your truck. Failure to provide deposit may require you to pick up
    your truck at another location. To avoid a $100 cancellation fee, please cancel a minimum of 48
    hours prior to the pick-up date.

    4597236

    Customer's Signature 1/1


    Overhead damage not covered by COMMERCIAL LDW form rn v94

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