Form of Purchase Order. [***] Certain information in this document has been omitted and filed separately with the Securities and Exchange Commission. Confidential treatment has been requested with respect to the omitted portions. Exhibit 4 Price/Credit for Medical Cobalt-6- Source Removal During the Term of this Agreement, Best Theratronics will use the following pricing/credit schedule for the removal of Medical Cobalt-60 Sources supplied by Best Theratronics:
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Samples: And Removal Agreement (ViewRay, Inc.), And Removal Agreement (ViewRay, Inc.), And Removal Agreement (Viewray Inc)