Form of Certificate of Common Stock
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Business Finance
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EX-4.1 6 c63694a1ex4-1.txt FORM OF CERTIFICATE OF COMMON STOCK 1 EXHIBIT 4.1 INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE UNIVERSAL HOSPITAL SERVICES, INC. THIS CERTIFIES THAT ____________________________________________IS THE OWNER AND REGISTERED HOLDER OF _________________________________________________ SHARES OF COMMON STOCK TRANSFERABLE ONLY ON THE BOOKS OF THE CORPORATION BY THE HOLDER HEREOF IN PERSON OR BY DULY AUTHORIZED ATTORNEY UPON SURRENDER OF THIS CERTIFICATE PROPERLY ENDORSED. IN WITNESS WHEREOF, THE SAID CORPORATION HAS CAUSED THIS CERTIFICATE TO BE SIGNED BY ITS DULY AUTHORIZED OFFICERS AND TO BE SEALED WITH THE SEAL OF THE CORPORATION NO CORPORATE SEAL THIS ________________________ DAY OF ______________ , ____________. ----------------------------- ------------------------------------- SECRETARY PRESIDENT
