0001104659-08-009058 Sample Contracts

FIRST SUPPLEMENT TO MASTER NOTE PURCHASE AGREEMENT
First Supplement to Master Note Purchase Agreement • February 11th, 2008 • Ims Health Inc • Services-computer processing & data preparation

This First Supplement to Master Note Purchase Agreement (the “First Supplement”) is between IMS HEALTH INCORPORATED, a Delaware corporation (the “Company”), and the institutional investors named on the attached Schedule A (the “Purchasers”).

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