0001104659-05-039687 Sample Contracts

MEDQUEST, INC.
Letter Agreement • August 15th, 2005 • Mq Associates Inc • Services-medical laboratories • New York

This letter agreement (the “Letter Agreement”) makes reference to that certain Amended and Restated Credit Agreement, dated as of September 3, 2003 (as amended, supplemented, restated or otherwise modified from time to time, the “Credit Agreement”), among MQ ASSOCIATES, INC., a Delaware corporation (“Holdings”), MEDQUEST, INC., a Delaware corporation (the “Borrower”), the lenders from time to time party thereto (the “Lenders”), and WACHOVIA BANK, NATIONAL ASSOCIATION (“Wachovia”), as administrative agent for the Lenders (in such capacity, the “Administrative Agent”).

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SEVENTH SUPPLEMENTAL INDENTURE
Seventh Supplemental Indenture • August 15th, 2005 • Mq Associates Inc • Services-medical laboratories • New York

This Seventh Supplemental Indenture, dated as of August 15, 2005 (this “Supplemental Indenture”), among MedQuest, Inc. (together with its successors and assigns, the “Company”), MQ Associates, Inc. (“Holdings”), the subsidiaries of the Company party to the Indenture (as hereinafter defined) (the “Subsidiary Guarantors” and, together with Holdings, the “Guarantors”) and Wachovia Bank, National Association, as Trustee under the Indenture referred to below. Unless otherwise specified, capitalized terms used in this Supplemental Indenture have the meanings assigned to them in the Indenture.

FIRST SUPPLEMENTAL INDENTURE
First Supplemental Indenture • August 15th, 2005 • Mq Associates Inc • Services-medical laboratories • New York

This First Supplemental Indenture, dated as of August 15, 2005 (this “Supplemental Indenture”), between MQ Associates, Inc. (the “Company”) and Wachovia Bank, National Association, as Trustee under the Indenture referred to below. Unless otherwise specified, capitalized terms used in this Supplemental Indenture have the meanings assigned to them in the Indenture.

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