ent001389-083

ANPOWER INC. Worlds Largest Temporary'H,elp And,Complete Business Service COMPANY 7T ~|5 ' ?╟÷?╟÷ ?╟úT? ^Joo 12 WEEK ENDING DATE ADDRESS CITY I hereby certify that the hours shovVn 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 ossKjnmcnt to determine if there is other work available for me. I agree that if I do not contact Manpower upon completion of an assignment they can assume I am not available for work. TIME STARTED TIME FINISHED LESS LUNCH PERIOD TOTAL HOURS' MONDAY ?╟÷?╜ TUESDAY ?√ß?√ß / ?╟≤ *1^ - -A- ?╟÷ WEDNESDAY //; vr i! '/r 7*. THURSDAY IfiK (s> FRIDAY lb H:*fS SATURDAY 7 3 <3 r /f? Vi. SUNDAY HOURS TO NEAREST j hour ^qr^EEK % (# 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 TRUCK EQUIPMENT WITHOUT PRIOR WRITTEN CONSENT FROM MANPOWER INC- IT IS AGREED THAT INSURANCE FURNISHED BY MANPOWER. INC DOES NOT COVER PHYSICAL LOSS OR DAMAGE CAUSED BY THE OPERATION OF THE UNDERSIGNED'S 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 PART 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/THAT UNDER NO CIRCUMSTANCES WILL MANPOWER. INC. BE RESPONSIBLE FOR CLAJM^MADE UNDER MANPOWER. INC.'S FIDELITY BOND UNLESS SUCH CLAIMS ARE REPORTED JN WRITING TO MANPOWER. INC. BY THE UNDERSIGNED WITHIN 30 DAYS AFTER OCCURENCE. CUSTOMER APPROVAL r ' ----TITLjy?╟÷*?╟÷ y JL do NOT WRtTE BELOW THiyJNE ?╟÷ LEAVE THIS COPY WITH CUSTOMER