0001193125-04-081767 Sample Contracts

Confidential Materials omitted and filed separately with the Securities and Exchange Commission. Asterisks denote omissions. PerkinElmer, Inc. Restricted Stock Agreement Granted under 2001 Stock Incentive Plan
Restricted Stock Agreement • May 7th, 2004 • Perkinelmer Inc • Laboratory analytical instruments • Massachusetts

AGREEMENT made this twenty-seventh day of January, 2004, between PerkinElmer, Inc., a Massachusetts corporation (the “Company”), and (the “Participant”).

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