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DocuSign Envelope ID:7883307E-C860-4560-99B8-EE98E3EB6B35 <br /> l &AAff AW <br /> �M,PhR DAILY WEEKLY WORK ORDER <br /> A LI F� <br /> Sparrow Enterprise, Inc. Printed on 09111/2018 07:29 AM Vane 1 of 1 <br /> 4674 Capital Blvd, tRaleighl <br /> Raleigh, NC - 27604 ()A-,,, Phone : (919) 7131717 Customer No, 31-6-5876 <br /> DATE DAY TIME INO.OF WORKERS JOB DESCRIPTION <br /> 09/11/2016 Tuesday I&K i F::c �ndbags, clear debris, hurricane prep <br /> CUSTOMER JOB ADDRESS <br /> Grange County Dept. of Asset Mgst Services 131 W. haroaret Lane <br /> JOB NAME Hillsborough, NC <br /> i�LLae 'prep <br /> REPORT TO SITE PHONE <br /> DATE H.H. SH GL GS NAME TOTAL <br /> HOURS ryrypN TUES WED THUR FRl SAT SUN <br /> Wiggins, 1= <br /> �, ,,� ✓ Raller, Samuel Christopher <br /> I I— <br /> r <br /> 4 BILLABLE HOURS PER • RECORD DAILY TICKET <br /> MINIMUM PER ORDER X PERSON TOTAL HOURS ) Y; HOURS IN TOTAL HOURS <br /> COLUMN. <br /> IMPORTANT: • RECORD WEEKLY TICKET <br /> HOURS IN APPROPRIATE <br /> • DON'T GIVE WORKERS ANY CASH *GIVE WORKERS SIGNED WHITE AND YELLOW COPIES. DAY COLUMNS. <br /> CUSTOMER AGREES TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE HEREOF AND CERTIFIES THAT THE LISTED EMPLOYEES HAVE SATISFACTORILY <br /> PERFORMED SERVICES FOR THE HOURS SHOWN ABOVE.CUSTOMER CERTIFIES THAT ALL MEAL AND REST PERIODS HAVE BEEN PROVIDED TO WORKERS IF AND AS <br /> REQUIRED BY FEDERAL,STATE LAW,ORDER OR REGULATION.CUSTOMER ACKNOWLEDGES THAT AGENT WHO SIGNS WORK ORDER IS EXPRESSLY AUTHORIZED TO DO SO. <br /> THE ABOVE HOURS ARE CORRECT AND THE WORK HAS BEEN PERFORMED IN A SATISFACTORY MANNER. <br /> PRINT NAME&TITLE - - AUTHORIZED SIGNATURE <br /> NO.OF WORKERS NEEDED TIME NEEDED <br /> • •• •• j� YES �NO <br /> REMARKA <br /> Copyright X2017 Labor Finders International,Inc.All rights reserved. <br /> SKILL VERIFICATION&SUPERVISION REQUIRED BY CUSTOMER INVOICE COPY REVO:17 <br />