Loan/Release Agreement Sample Contracts

Contract
Loan/Release Agreement • May 5th, 2016

Injured worker name Claim number Address City State Nine-digit ZIP code- Description of tool or equipment QTY Cost Date item loaned Date item returned Date item released A B C D E F G

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LOAN RELEASE AGREEMENT
Loan Release Agreement • March 30th, 2017 • Adamis Pharmaceuticals Corp • Pharmaceutical preparations • Arkansas

THIS LOAN RELEASE AGREEMENT (this “Agreement”) is made and entered into as of November 14, 2016 (the “Agreement Date”), by and among 4 HIMS, LLC, an Arkansas limited liability company (“4 HIMS”), TRIBUTE LABS, LLC, a Nevada limited liability company (“Tribute”), U.S. COMPOUNDING, INC., an Arkansas corporation (“USC”); EDDIE GLOVER, an individual; WILLIAM L. SPARKS, an individual; SAM GLOVER, an individual; RUSTY WOOTEN, an individual; STUART BURKE, an individual; and KRISTEN RIDDLE, an individual (collectively, the “Individual Guarantors”); ADAMIS PHARMACEUTICALS CORPORATION, a Delaware corporation (“Adamis”); and BEAR STATE BANK, INC., a national banking association (“Bank”).

Instructions
Loan/Release Agreement • October 30th, 2009

Injured worker name Claim number Address City State Nine-digit ZIP code Description of tool or equipment QTY Cost Date item loaned Date item returned Date item released A B C D E F G

Contract
Loan/Release Agreement • July 15th, 2024

Injured worker name Claim number Address City State Nine-digit ZIP code Description of tool or equipment QTY Cost Date item loaned Date item returned Date item released A B C D E F G

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