separate counterparts, and all of said counterparts
taken together shall be deemed to constitute one and the same instrument. This
Amendment may be delivered by facsimile transmission of the relevant signature
pages hereof.
6
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
duly executed and delivered by their duly authorized officers as of the day and
year first above written.
SPHERIS HOLDING II, INC.
By:
/s/ Gregory T. Stevens
Name:
Gregory T. Stevens
Title:
Chief Administrative Officer and General Counsel
SPHERIS INC.
By:
/s/ Gregory T. Stevens
Name:
Gregory T. Stevens
Title:
Chief Administrative Officer and General Counsel
JPMORGAN CHASE BANK, N.A. individually and as
Administrative Agent
By:
/s/ Stephanie Parker
Name:
Stephanie Parker
Title:
Vice President
ACKNOWLEDGED AND AGREED:
SPHERIS OPERATIONS LLC
VIANETA COMMUNICATIONS
SPHERIS LEASING LLC
SPHERIS CANADA INC.
By:
/s/ Gregory T. Stevens
Name:
Gregory T. Stevens
Title:
Chief Administrative Officer and General Counsel
7
Signature page to the FOURTH AMENDMENT DATED AS OF
NOVEMBER 6, 2006 TO THE SPHERIS INC. CREDIT
AGREEMENT, dated as of November 5, 2004, as amended.
/s/ Signatures on File
8