ent001389-084

ANPOWER INC. World's Largest Temporary Help And Complete Business Service COMPANY WEEK ENDING DATE Mat SAIDS HOTEL LAS VEGAS, NEVADA 39109 I hereby certify that the hours shown were worked by me during the week ending shown above, and were properly certified by an authorized repre- sentative of the named company at the bottom hereof. I understand I am to contact the Manpower office after completing the assignment to determine if there is other work available for mewl agree that if I do not contact Manpower upon completion of an assignment they can.assume I am not available for work. EMPLOYEE SIGNATURE A * 1 TIME STARTED TIME FINISHED r-r ; LESS 'LUNCH PERIOD ^ * O . TOTAL HOURS ^ MONDAY j?║| TUESDAY WEDNESDAY 12 Nooi i 8:00PM 8 THURSDAY* 10 AM 6:00PM 1/2 7% FRIDAY 10 AM 5:00PH 1/2 6% SATURDAY i a 7:SOPH 6% SUNDAY HOURS TO NEAREST i hour TOTAL HOURS FOR WEEK 28% IT IS HEREBY CERTIFIED THAT THE ABOVE HOURS ARE CORRECT AND THAT THE WORK WAS PERFORMED IN A SATISFACTORY MANNER.IN CONSIDERATION OF THE FURNISHING OF SERVICES BY MANPOWER. INC. IT IS AGREED THAT THE UNDERSIGNED WILL NOT EMPLOY THE PERSON NAMED ABOVE NOW AND FOR A PERIOD OF NINETY DAYS FOLLOWING THE COMPLETION OF WORK FOR THE UNDERSIGNED BY THE PERSON NAMED ABOVE IT IS UNDERSTOOD THAT THE UNDERSIGNED WILL NOT AUTHORIZE MANPOWER. INC. EM- PLOYEES TO OPERATE MACHINERY AUTOMOTIVE OR %RUCK EQUIPMENT WITHOUT PRIOR WRITTEN CONSENT FROM MANPOWER. INC. IT 1%, AGREED THAT 'INSURANCE FURNISHED BY MANPOWER INC. DOES NOT COVER PHYSICAL LOSS OR DAMAGE CAUSED BY THE; OPERATION OF THE UNDERSIGNEDS VEHICLES AUTOMOBILES OR TRUCKS BY MANPOWER:' INC EM- PLOYEES IT IS AGREED THAT THE UNDERSIGNED SHALL ACCEPT FULL RESPONSIBILITY FOR BODILY INJURY. PROPERTY DAMAGE. FIRE. THEFT. COLLISION OR PUBLIC^ LIABILITY DAM- AGE CLAIMS WHILE A MANPOWER EMPLOYEE IS DRIVING THE UNDERSIGNED'S VEHICLE. WHE- THER OWNED OR RENTED. - IT IS UNDERSTOOD THAT THE UNDERSIGNED WILL NOT ENTRUST MANPOWER EMPLOYEES WITH UNATTENDED PREMISES OR ANY f*ART THEREOF. HANDLING OF CASH. NEGOTIABLES OR OTHER VALUABLES WITHOUT WRITTEN PERMISSION FROM MAN- POWER. AND THEN ONLY WHEN, AN EMPLOYEE S SPECIFIC DUTIES NECESSITATE SUCH ACT- IVITY. IT IS UNDERSTOOD im'T UNDER NO CIRCUMSTANCES WILL MANPOWER. INC . BE RESPONSIBLE FOR CLAIMS MADE UNDER MANPOWER. INC.'S FIDELITY BOND UNLESS SUCH CLAIMS ARE REPORTED l*f>WRITING TO MANPOWER. INC. BY THE UNDERSIGNED WITHIN 30 DAYS AFTERy^CUrfkEMCBf CUSTOMER APPROVAL BY. DO NOT WRITE BELOW THIS LINE LEAVE THIS COPY WITH CUSTOMER