(UNTITLED)

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP64-00360R000700050109-0
Release Decision: 
RIPPUB
Original Classification: 
K
Document Page Count: 
2
Document Creation Date: 
December 9, 2016
Document Release Date: 
March 20, 2000
Sequence Number: 
109
Case Number: 
Content Type: 
STATEMENT
File: 
AttachmentSize
PDF icon CIA-RDP64-00360R000700050109-0.pdf238.44 KB
Body: 
Approved For Release 2001/08/15 ,CIA-RDP64-00360R000700050109-0 STATIfV T _ - ( I,YE :E 8ER ~'77Jg~REQU,CA~ /((.OlN[~a. "q E - F R ME,:FlrtM wu CT AD RE R R E uxeaa ~ F j, {t ~y+ (2) MAKE (3) TYPE H (4) COLOR(CARS)OR PAYLOAD(TRUCKS) (5) OWNER,gTY- : - (6) II~,ENSE IAT9 NUMBER (7) STATE 4 - 11 TA F ^'?' - (10) DEPOSIT .... L ) ? ~. f2B1 es (11) LOCAL CONTACT .-- _.. ny1 Ekih ON --.- - fJ5).D E ^.TIMEIf,J_.. . __. ~.. (121 .. DRIVE LICE (~) E AND IME OUT MI. } (1!) EXPIRAT)ON DATE Ily 31 (37) TIME USEDD MI, (15) ADDITIONAL AU OUT t TOT 38 MI~ ff p6) ADDITIONAL DR . MI (33)'BILLIN HRS @ (17) STATE (18) EXPIRATION DATE - S ADDRESS (40) DAY CASH (19) ADDITIONALIN 141) V 5 FIRM HOME ^ AVIS (43) CENT 1:1 BUS. R;rn RESV. L CENTRAL ) X21 ? ALTERNATE CITY LISTED BEIOW,EFVAUTHOR ZED BY AGENT OFTLESSOR SUBJ M46) TOTAL TIME (111 REFERRED BY AUTH. CITY BY RENTER'S INTERCITY FEE $INITIALS (221 OPTIONAL EQUIPMENT RENTAL (23) SPECIAL RENTAL. ACCEPTS RATE ADJUSTME DECLINES "" DAYS @ $ .00: WKS @ $5.00 - }'rJ,~ v (SEE PARAG PAGE 1) RAR - TOTALTAX- RENTER'S INI TIALS CUSTOMER CREDICHARGES SA I7) , ? SUBJECT TO; AND20ND1flON5ON RSR SIDB PAGE PURCHASES TAX J -. DAMAGES (IB) TOTAL DEPOSIT - CHARGES X * 19) TOTAL - iCRE It5'r LESS REDITS ..~~. :* (26)PLACE LOCALAENTAL STAJ) IMPAIN'T HERE t j R 3 t.3 ! ;''.' s _ ., -. !f "te" ' '- N (55) Tm S NET AM .. OLINT D :? ' - UE 7- },/ y?)`^ ~,,I/ A gem" t r." r ,~ , ! -.+..3 ., ? ' 561 RE.ENED REFUND (TO BE INITIALED;B REEITEIJ1 - y ?? - `,. (59) ECK IN STATION AVIS RENT-a?CARSYSTEM .STANDARD'RENTALAGREEM Approved For Release 2001/08/15 : CIA-RDP64-00360R000700050'109-0 4UZUkUb R a64 QO,~ / R ZYe I I Y, : RENT - IMYVKIArvI: LALII Kerune ~nw~u .~.~