Title Page
-
Date:
-
Receipt No.
-
Customer Account number:
-
Customer Name:
-
How Was Payment Made:
-
Purpose of Payment:
- Car rental Reservation
- Late fees
- Tolls fee
- Inside or outside state ticket fees
- Burnt or Damage Property Fees
- Missing Property Fees
-
Text Amount of Payment: (Words only)
-
Total Amount: (Numbers only)
-
Who Received Rental From, Pa&NJ Car Rental LLC: (print)
-
Who Received Rental From, Pa&NJ Car Rental LLC: (sign)
-
On The Date Of:
Worker Information Only:
-
Manager Name:
-
Manager worker account Number:
-
Manager Email:
-
Manager Phone Number:
Company Recipe
-
Was The Car Returned Late?
-
If Late Wat Time Was Vehicle Returned
-
Do You Agree, You Haven’t Past Through Any Tolls Without Paying With In The Time Frame You Had The Car?
-
If You Agree To The Above Statement, Please Sign Here:
-
Do You Agree, You Haven’t Received Any Sate Or Outside State Tickets Without Paying With In The Time Frame You Had The Car?
-
If You Agree To The Above Statement, Please Sign Here
-
Was There Any marks, Damage or etc, done to the vehicle before returning. Inspect when the car returned?
-
Please list everything that was wrong with the car?
-
Was Anything Missing?
-
List The Missing Items:
-
Receipt No.
-
Total Amount On The Receipt.
-
Name of Contract Owner:
-
Customer Account Number:
-
Does The Receipt Include A Return Policy?
-
Is There An Image of The Signature On The Receipt?
