0001096906-07-001266 Sample Contracts

RemoteMDx, Inc. COMMON STOCK PURCHASE WARRANT
Remote MDX Inc • September 14th, 2007 • Electronic & other electrical equipment (no computer equip) • Utah

Effective as of ______________ RemoteMDx, Inc., a Utah corporation (the “Company”), for value received, hereby certifies that ___________ (“Holder”), is entitled to purchase from the Company, at such times and in such amounts as are permitted herein, ____________ duly authorized shares of the Common Stock, par value $0.0001 per share, of the Company (the “Warrant Stock”) at a purchase price per share of $________ per share, all subject to the terms and conditions set forth below.

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