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DOCUSign Envelope ID:7883307E-C860-4560-99B8-EE98E3EB6B35 <br /> &AS R <br /> ,Af, UERS DAILY WEKLY WORK ORDER <br /> El F-1 31-6-123035 <br /> Sparrow Enterprise, Inc. Printed u, 1; :05 P.M Pane 1 of 1 <br /> 4674 Capital Blvd, (Raleigh) <br /> Raleigh, NC - 27604 Phone : (919) 713-0717 Customer No. 31-6-5876 <br /> DATE DAY TIME NO.OF WORKERS JOB DESCRIPTION <br /> Ia lWednesday 08:0N et; ;a I_aas, __tti 1:U1 - ..urrirane prJ <br /> CUSTOMER JOB ADDRESS <br /> ;inty Dept. of Ieee# Mgr# Services Margaret Lane <br /> JOB NAME Hillshorouuh, NC <br /> REPORT TO SITE PHONE <br /> (9l9)-201-6829 <br /> DATE H.H. SH GL I GS I NAME TOTAL ups MON TUES WE THUR FRI SAT SUN <br /> HO <br /> , 7 <br /> Waller, Sasuel Christopher -7 <br /> 4 BILLABLE HOURS (P • RECORD DAILYTICKE T <br /> MINIMUM PER ORDERPERS°N TOTAL HOURS _ 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 /> REOUIRED 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 R TITLE - AUTHORIZED S$GNATURE <br /> f f NO.OF WORKERS NEEDED TIME NEEDED <br /> YES ❑NO <br /> f •" "f <br /> REMARKS <br /> Copyright 02017 Labor Finders International,Inc.All rights reserved. <br /> SKILL VERIFICATION&SUPERVISION REQUIRED BY CUSTOMER INVOICE COPY REV0117 <br />