{ "document_metadata": { "page_number": "2615", "document_number": "17-295", "date": "07/26/17", "document_type": "Rental Agreement", "has_handwriting": false, "has_stamps": false }, "full_text": "DTG OPERATIONS dba DOLLAR RENT A CAR\n2401 Turnage Boulevard\nWest Palm Beach, FL 0000033\n866-434-2226\n\nWest Palm Beach Int'l\n\nBANASIAK JANUSZ\n358 EL BRILLO WAY\nPALM BEACH FL 33480\n1270 04/07/2012 561-818-8361\nADD'L DRIVER: None\n\n* FL Surchg includes\n$2 FL St Surchg & .03\nRecycle Fee Recv\nCREDIT CARD AUTHORIZATION/CASH DEPOSITS\nVI/*************8274/050298/ 1066.00/A/11/26/2005\n\nVEH.#: 817622-1\nLIC.#: W28GIS STALL#: 12/23/2005 1040 HH115484-5\n05 NISSAN SENTRA\nRate: WALK Cls: CDAR 920001\nFUEL LEVEL OUT: FULL 11/26/2005 1048\nMILEAGE OUT: 11230\n\nCUSTOMER DECLINES LDW AND IS RESPON-\nSIBLE FOR LOSS OR DAMAGE PER TERMS\nOF THE RENTAL AGREEMENT.\nUMP DECLINED\nSLI ACCEPT @ 11.95/DAY 322.65\nPPP DECLINED\nESP DECLINED\nEst Optional Coverages 322.65\n\nBY YOUR INITIALS YOU ACKNOWLEDGE YOU\nHAVE ACCEPTED OR DECLINED THE ABOVE\nOPTIONAL ITEMS: X_________\n\nTIME OUT TIME IN\n**RENTAL RATES** Hours 12.00/ mls\nDays 24.99/ mls\nWeeks 124.95/ mts 499.80\nX/day 24.99/ mls\nUnlimitd mls\nVEH LIC FEE .47/Day 12.69\nFLA SRCHRG* 2.03/Day 54.81\nFuel 5.99/gal\nSTATE TAX 6.500% 36.87\nEst Optional Coverages 322.65\n**ESTIMATED CHARGES** 926.82\n\nYOU ARE RESPONSIBLE FOR YOUR PARKING\nVIOLATIONS. IF YOU FAIL TO PAY YOUR\nTICKET(S), ANY UNPAID TICKET(S),\nPENALTIES, PLUS A $25.00 FEE PER\nCITATION, WILL BE BILLED TO YOUR\nCREDIT CARD. X\nESTIMATED/ACTUAL CHARGES MAY VARY\n\nCUSTOMER HAS NOT USED THE AIRPORT\nIN THE LAST 24 HOURS. _______\n\nWLK\nSMCKEO/187\n\nA per hour rate for late returns is charged right after the start of new Rental Day.\n\n07/26/17 Page 2615 Public Records Request No.: 17-295\nDOJ-OGR-00032928", "text_blocks": [ { "type": "printed", "content": "DTG OPERATIONS dba DOLLAR RENT A CAR\n2401 Turnage Boulevard\nWest Palm Beach, FL 0000033\n866-434-2226", "position": "top" }, { "type": "printed", "content": "West Palm Beach Int'l", "position": "header" }, { "type": "printed", "content": "BANASIAK JANUSZ\n358 EL BRILLO WAY\nPALM BEACH FL 33480\n1270 04/07/2012 561-818-8361\nADD'L DRIVER: None", "position": "middle" }, { "type": "printed", "content": "* FL Surchg includes\n$2 FL St Surchg & .03\nRecycle Fee Recv\nCREDIT CARD AUTHORIZATION/CASH DEPOSITS\nVI/*************8274/050298/ 1066.00/A/11/26/2005", "position": "middle" }, { "type": "printed", "content": "VEH.#: 817622-1\nLIC.#: W28GIS STALL#: 12/23/2005 1040 HH115484-5\n05 NISSAN SENTRA\nRate: WALK Cls: CDAR 920001\nFUEL LEVEL OUT: FULL 11/26/2005 1048\nMILEAGE OUT: 11230", "position": "middle" }, { "type": "printed", "content": "CUSTOMER DECLINES LDW AND IS RESPON-\nSIBLE FOR LOSS OR DAMAGE PER TERMS\nOF THE RENTAL AGREEMENT.", "position": "middle" }, { "type": "printed", "content": "UMP DECLINED\nSLI ACCEPT @ 11.95/DAY 322.65\nPPP DECLINED\nESP DECLINED\nEst Optional Coverages 322.65", "position": "middle" }, { "type": "printed", "content": "BY YOUR INITIALS YOU ACKNOWLEDGE YOU\nHAVE ACCEPTED OR DECLINED THE ABOVE\nOPTIONAL ITEMS: X_________", "position": "middle" }, { "type": "printed", "content": "TIME OUT TIME IN\n**RENTAL RATES** Hours 12.00/ mls\nDays 24.99/ mls\nWeeks 124.95/ mts 499.80\nX/day 24.99/ mls\nUnlimitd mls\nVEH LIC FEE .47/Day 12.69\nFLA SRCHRG* 2.03/Day 54.81\nFuel 5.99/gal\nSTATE TAX 6.500% 36.87\nEst Optional Coverages 322.65\n**ESTIMATED CHARGES** 926.82", "position": "middle" }, { "type": "printed", "content": "YOU ARE RESPONSIBLE FOR YOUR PARKING\nVIOLATIONS. IF YOU FAIL TO PAY YOUR\nTICKET(S), ANY UNPAID TICKET(S),\nPENALTIES, PLUS A $25.00 FEE PER\nCITATION, WILL BE BILLED TO YOUR\nCREDIT CARD. X\nESTIMATED/ACTUAL CHARGES MAY VARY", "position": "middle" }, { "type": "printed", "content": "CUSTOMER HAS NOT USED THE AIRPORT\nIN THE LAST 24 HOURS. _______", "position": "middle" }, { "type": "printed", "content": "WLK\nSMCKEO/187", "position": "middle" }, { "type": "printed", "content": "A per hour rate for late returns is charged right after the start of new Rental Day.", "position": "middle" }, { "type": "printed", "content": "07/26/17 Page 2615 Public Records Request No.: 17-295", "position": "footer" }, { "type": "printed", "content": "DOJ-OGR-00032928", "position": "footer" } ], "entities": { "people": [ "JANUSZ BANASIAK" ], "organizations": [ "DTG OPERATIONS", "DOLLAR RENT A CAR" ], "locations": [ "West Palm Beach", "Palm Beach" ], "dates": [ "12/23/2005", "11/26/2005", "04/07/2012", "07/26/17" ], "reference_numbers": [ "817622-1", "W28GIS", "HH115484-5", "920001", "11230", "8274/050298", "17-295", "DOJ-OGR-00032928" ] }, "additional_notes": "The document appears to be a rental agreement for a car rented from Dollar Rent A Car. The document is in good condition with no visible damage or redactions." }