0001104659-04-008704 Sample Contracts

FIFTH SUPPLEMENTAL INDENTURE
Fifth Supplemental Indenture • March 29th, 2004 • Mq Associates Inc • Services-medical laboratories • New York

This Fifth Supplemental Indenture, dated as of January 14, 2004 (this “Supplemental Indenture” or “Guarantee”), among William S. Witt, Inc., a Tennessee corporation (the “Guarantor”), MedQuest, Inc. (together with its successors and assigns, the “Company”), MQ Associates, Inc. (“Holdings”), the subsidiaries of the Company party to the Indenture (as hereinafter defined) (the “Subsidiary Guarantors”) and Wachovia Bank, National Association, as Trustee under the Indenture referred to below.

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FOURTH SUPPLEMENTAL INDENTURE
Fourth Supplemental Indenture • March 29th, 2004 • Mq Associates Inc • Services-medical laboratories • New York

This Fourth Supplemental Indenture, dated as of December 17, 2003 (this “Supplemental Indenture” or “Guarantee”), among Medical Scheduling of Missouri, LLC, a Missouri limited liability company (the “Guarantor”), MedQuest, Inc. (together with its successors and assigns, the “Company”), MQ Associates, Inc. (“Holdings”), the subsidiaries of the Company party to the Indenture (as hereinafter defined) (the “Subsidiary Guarantors”) and Wachovia Bank, National Association, as Trustee under the Indenture referred to below.

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