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* fS\ ANPOWER IN World?╟╓s Largest Temporary Help And Complete Business Service COMPANY 3ANY s A / )PPQ 7 ?╟≤' L i/^/S/oSo. 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* sentafive 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 me. I agree that if I do not contact Manpower upon completion owm assignment they can assume I am jfoVavailable for work. [/ r EMPLOYEE SIGNATURE- TOTAL HOURS MONDAY TUESDAY WEDNESDAY 13JL ^7 THURSDAY in-oo ?·,'3o 7 lo'.ffo tMSL (ma SATURDAY j_Loa 2130. SUNDAY HOURS TO NEAREST i hour TOTAL HOURS FOR WEEK- 23 kn. LtS/Kul 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. ,JNC. 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 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 PART THEREOF. HANDLING OF CASH. NEGOTIABLES OR OTHER VALUABLES WITHOUT WRITTEN PERMISSION FROM MAN- POWER. AND THEN ONLY,WHEN AN EMPLOYEES SPECIFIC DUTIES NECESSITATE SUCH ACT- IVITY. IT IS UNDERSTOCK) THAT UNDER NO CIRCUMSTANCES WILL MANPOWER. INC. BE RESPONSIBLE FOR CLAUftS MADE UNDER MANPOWER. INC 'S FIDELITY BOND UNLESS SUCH CLAIMS ARE REPOR^EET IN WRITING TO MANPOWER. INC. BY THE UNDERSIGNED WITHIN 30 DAYS AFTgR gccgft^NCE. ^ CUSTOMER APPROVAL .TITLE. DO NOT WRITE BELOW THIS LINE ?╟÷ LEAVE THIS COPY WITH CUSTOMER