0001144204-11-033767 Sample Contracts

AMERICAN SCIENTIFIC RESOURCES, INC. FORM OF COMMON STOCK PURCHASE WARRANT
Securities Agreement • June 3rd, 2011 • American Scientific Resources Inc • Surgical & medical instruments & apparatus • New York

This Common Stock Purchase Warrant (the “Warrant”) is being issued in connection with the issuance of an 8% Promissory Note to _________________ in the principal amount of $___________.

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