Hire Image Services, Inc.

“ A Professional Employment Research Company “

Confidential Reference Report

Company: ………………….

Reference Applicant: ………………… References 2 of 2

Position Held: Collections/Receivable

Dates of Employment: 11/2001 - Present

Verified By: ………………….

Title / Position: Human Resources Manger

Date Completed: 11/06/2003

Dates of Employment Confirmed: Yes

Title /Position Confirmed: Yes

Additional Comments & Notes –