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DocuSign Envelope ID:4038DF8F-EA25-4447-B9DB-BE481 B1 FBF40 <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 't in said Franchise approved by the Grantor Commissioners, subject to <br /> ;apce, Member/Co-Owner <br /> era/ law. <br /> First Choice Medical Transport, LLC <br /> STATE OF NORTH CAROLINA ) <br /> COUNTY OF . 4' ) <br /> On the Q�'day of —, 20 1-1 before me a Notary Public for the County and State <br /> aforesaid, personally appeared before me '- I I - 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 /> y119!l1111 YIlll,lf <br /> Notary Public r-Co° <br /> ' Gflm{ 1.�3Cp' s <br /> My Commission Expires: - f ( • _ fly • <br /> fi•!��� W Ld +'� Rey,!• <br /> h/jN1�!HI I!N Yy/l11YRRW <br /> First Choice Medical Transport, LLC <br /> EMS Franchise Agreement <br /> Page 20 of 22 Rev. 11/201 b <br />