CAR RENTAL RECEIPT

Date: _______________________

Receipt #: _______________________

Vehicle Information
VIN: _______________________ Registration #: _______________________

Make: _______________________ Model: _______________________

Year: _______________________ Mileage: _______________________

Color: _______________________

VIN Cost/Day # of Days Additional Costs Line Total

$ 163.48 9 $1471.38

Payment Method: Subtotal: $1471.38

☐ Cash. ☐ Check. No: _______________ Tax ( %):

☐ Credit. No: _______________ Total: $1471.38

☐ Other. _______________ Amount Paid:

Authorized Signature: _______________________

Representative Name: _______________________

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