Rental Record

ADDITIONAL DRIVER: DWORAK ROMANA LICENCE NO: ISSUE DATE: 30/ DATE OF BIRTH:

Estimate of Charges: € 29.70 EXTRA DAY @ 1 DAY (A) € 29.70 € 212.12 /WEEK @ 2 WEEKS (A) € 424.24 * Includes Unlimited Kilometres Discount 10.00% Applied to Time & Mileage Charge € 45.39

Additional Products: Super Cover ACCEPTED -DC (A) € 430.00 Personal Insurance DECLINED Fuel Purchase Option ACCEPTED -DC € 70.30 (@ € 1.9000 per litre)

Location Service Charge 8.00 %(A) (A) € 40.00 Tax: Code (A) 21.0000 % (A) € 184.50

Total Estimated Rental Charges (Incl. Tax and Fuel): € 1133.35 Voucher Credits Voucher No: PPV NO 870559 -€ 533.89

CDP No: 00705500 Rate Plan: WOW4GB Group Charged: I3 Group Rented: I3 Group Reserved: I3 Unit: 2983252 Kms Out: 50883 Starting Level (Full 8/8)

Rented: 13:48 27/07/24 BARCELONA AIRPORT TERMINAL 1 AND 2 Tel: 902011959 08820 BARCELONA SPBCN50@HERTZ.COM

Due In: 05:00 11/08/24 BARCELONA AIRPORT Additional fees may apply if the car is driven abroad.

I confirm that the Customer Declaration (on the back of this Rental Record or below), which I have read and understood, is true. I agree to use the QR code (www.hertz.es/retalines) to receive the Documentation. I authorise Hertz to charge any amounts due from the rental, including after its end, without further authorisation.

Renter's Signature: _______________________________

HERTZ DE ESPANA S.L.