Mar 22 2018 14:28:55 Via Fax > 1-H «J. Epstain Property Page 681 Of 882 et tl a HOME CARE Fax HHA 299994079 “ayo i Per your request i | Thank you, Jozie Etienne | | Administrative Assistant HOME CARE EFTA00299770

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Mar 22 2018 14:29:15 Via Fax > ‘%, HOME CARE Boar Fax Reference Check Form Pe Applicantinformation 1- «J. Epstain Property Page 882 Of 882 900 E Indiantown Rd Suite 115 Jupiter, FL. 33477 Phone Fax: Email: Website: www.alistepshomecare.com Applicant information Applicant Name: FIDICS EIA He ee Date: + Last ~ ML Position Applied for HHA/CNA _ = Recruiter Name; _Jozie Etienne-Administrative Assistant _ Contact information Name'of Contact: _ bee EES Title Company: J - Address Street Address Surte # Was the applicant an employee of your company? START END When? DATE ee DATE What was the applicant's pasition on the last day of employment? YES Would you rehire this applicant? Cl Is thete anything else you would like to add? Thank you for your time and assistance. State ZIP Code Please return at your earliest convenience to in HR-60 Fax Reference Check Form EFTA00299771