Fillable CAR RENTAL RECEIPT Rental Company Info Lessee Info

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CAR RENTAL RECEIPT Rental Company Info Lessee Info

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The CAR RENTAL RECEIPT Rental Company Info Lessee Info form is 1 page long and contains:

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  • 4 check-boxes
  • 43 other fields

Country of origin: OTHERS
File type: PDF

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Page 1 of 1
CAR RENTAL RECEIPT
Date: _______________________
Receipt #: _______________________
Rental Company Info
Company: _______________________
Representative: ______________________
Location: _______________________
City/State/ZIP: _______________________
Phone: _______________________
Lessee Info
Name: _______________________
License #: _______________________
Address: _______________________
City/State/ZIP: _______________________
Phone: _______________________
Vehicle Information
VIN: _______________________ Registration #: _______________________
Make: _______________________ Model: _______________________
Year: _______________________ Mileage: _______________________
Color: _______________________
VIN
Cost/Day
# of Days
Additional Costs
Line Total
Payment Method:
☐ Cash. ☐ Check. No: _______________
☐ Credit. No: _______________
☐ Other. _______________
Subtotal:
Tax ( %):
Total:
Amount Paid:
Authorized Signature: _______________________
Representative Name: _______________________
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CAR RENTAL RECEIPT Rental Company Info Lessee Info

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Completed 27 December 2021

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