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23 <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 by it in said Franchise approved by the Grantor Commissioners, subject to <br /> applicable state and federal law. <br /> Carol Varsano, Member/Co-Owner <br /> First Choice Medical Transport, LLC <br /> STATE OF NORTH CAROLINA ) <br /> COUNTY OF ) <br /> On the_day of ,20 before me a Notary Public for the County and State aforesaid, <br /> personally appeared before me on behalf of said agency, <br /> 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 /> Notary Public <br /> My Commission Expires: <br /> First Choice Medical Transport, LLC <br /> EMS Franchise Agreement <br /> Page 20 of 22 Rev <br />