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DocuSign Envelope ID:4038DF8F-EA25-4447-B9DB-BE481B1FBF40
<br /> ACCEPTANCE BY GRANTEE:
<br /> The undersigned, Carol Varsano, in his/her capacity as Member/Co-Owner of the First
<br /> Choice Medical Transport, LLC and on behalf of that agency, does hereby accept and
<br /> approve the foregoing and attached Franchise and all of its terms and conditions; and in
<br /> consideration of the benefits and privileges granted to it does hereby agree to abide by,
<br /> carry out, observe and perform all of the obligations and things provided to be carried out
<br /> and performed,r,it in said Franchise approved by the Grantor Commissioners, subject to
<br /> ap )fei'b
<br /> bl e sI t„ e a...i//f deral law.
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<br /> ------
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<br /> 7.-7erfo I VarsaAn",-Member/Co-Owner
<br /> First Choice Medical Transport, LTC
<br /> STATE OF NORTH CAROLINA )
<br /> )
<br /> COUNTY OF _11,2j/2),„.,14, " )
<br /> On the 1:;),„day ors:10,..,,t4, ..., 20L? before me a Notary Public for the County and State
<br /> aforesaid, personally appeared before me :L4,;(,,./z),( \j,;;(,,„r:7,,,,zeDc) on behalf of said
<br /> agency, acknowledges the signing and execution of the foregoing instrument.
<br /> IN 'TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed by notarial seal
<br /> on the day and year above written.
<br /> .000‘kM9UXI40,,,,,
<br /> 417,,„,.,0,...„„ ,t, ,
<br /> $.'''4,,i((,,,,"' 1 A ic, ''''e / ''''';;
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<br /> Notary Public
<br /> My Commission Expires: "E.. -4-1' ,,: ,,-''' lCi
<br /> 000mwoliwo 0
<br /> First Choice Medical Transport, LTC
<br /> EMS Franchise Agreement
<br /> Page 20 of 22 Rev. 11/2016
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