0001104659-08-067957 Sample Contracts

SUPPLEMENTAL INDENTURE NO. 10
Supplemental Indenture • November 5th, 2008 • Emergency Medical Services CORP • Local & suburban transit & interurban hwy passenger trans • New York

THIS SUPPLEMENTAL INDENTURE NO. 10 (this “Supplemental Indenture”), dated as of October 19, 2007, is among Arizona Oasis Acquisition, Inc., an Arizona corporation and wholly owned subsidiary of American Medical Response, Inc. (the “Guaranteeing Subsidiary”); the Issuers (as defined in the Indenture referred to herein); the other Guarantors (as defined in the Indenture); and U.S. Bank Trust National Association, as trustee under the Indenture referred to below (the “Trustee”).

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SUPPLEMENTAL INDENTURE NO. 7
Supplemental Indenture • November 5th, 2008 • Emergency Medical Services CORP • Local & suburban transit & interurban hwy passenger trans • New York

THIS SUPPLEMENTAL INDENTURE NO. 7 (this “Supplemental Indenture”), dated as of July 10, 2007, is among Nevada Red Rock Holdings, Inc. (“Holdings”), a Delaware corporation and a subsidiary of American Medical Response, Inc.; Nevada Red Rock Ambulance, Inc. (together with Holdings, the “Guaranteeing Subsidiaries,” and each individually a “Guaranteeing Subsidiary”), a Delaware corporation and a subsidiary of Holdings; the Issuers (as defined in the Indenture referred to herein); the other Guarantors (as defined in the Indenture); and U.S. Bank Trust National Association, as trustee under the Indenture referred to below (the “Trustee”).

SUPPLEMENTAL INDENTURE NO. 8
Supplemental Indenture • November 5th, 2008 • Emergency Medical Services CORP • Local & suburban transit & interurban hwy passenger trans • New York

THIS SUPPLEMENTAL INDENTURE NO. 8 (this “Supplemental Indenture”), dated as of August 16, 2007, is among MedicWest Holdings, Inc. (“Holdings”), a Delaware corporation and a subsidiary of Nevada Red Rock Ambulance, Inc.; MedicWest Ambulance, Inc., a Nevada corporation and a subsidiary of Holdings (together with Holdings, the “Guaranteeing Subsidiaries,” and each individually a “Guaranteeing Subsidiary”); the Issuers (as defined in the Indenture referred to herein); the other Guarantors (as defined in the Indenture); and U.S. Bank Trust National Association, as trustee under the Indenture referred to below (the “Trustee”).

SUPPLEMENTAL INDENTURE NO. 9
Supplemental Indenture • November 5th, 2008 • Emergency Medical Services CORP • Local & suburban transit & interurban hwy passenger trans • New York

THIS SUPPLEMENTAL INDENTURE NO. 9 (this “Supplemental Indenture”), dated as of August 17, 2007, is among the Mission Care Services, LLC, a Missouri limited liability company and a subsidiary of American Medical Response, Inc. (referred to hereinafter as “Services”); Mission Care of Illinois, LLC, an Illinois limited liability company and a subsidiary of Services; Mission Care of Missouri, LLC, a Missouri limited liability company and a subsidiary of Services; Access2Care, LLC, a Missouri limited liability company and a subsidiary of Services; and Abbott Ambulance, Inc., a Missouri corporation and a subsidiary of Mission Care of Missouri, LLC (the “Guaranteeing Subsidiaries” and each a “Guaranteeing Subsidiary”); the Issuers (as defined in the Indenture referred to herein); the other Guarantors (as defined in the Indenture); and U.S. Bank Trust National Association, as trustee under the Indenture referred to below (the “Trustee”).

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