Document:

Exhibit 4.3
                                                                     -----------

                                                                  EXECUTION COPY
                                                                  --------------

                          SECOND SUPPLEMENTAL INDENTURE

                                      among

                    VECTREN UTILITY HOLDINGS, INC., AS ISSUER

                     INDIANA GAS COMPANY, INC., AS GUARANTOR

             SOUTHERN INDIANA GAS AND ELECTRIC COMPANY, AS GUARANTOR

               VECTREN ENERGY DELIVERY OF OHIO, INC., AS GUARANTOR

                                       and

                U.S. BANK TRUST NATIONAL ASSOCIATION, AS TRUSTEE

                             Dated ______________, 2001

<PAGE>

                                TABLE OF CONTENTS

                                                                            Page

ARTICLE I    DEFINITIONS.......................................................1

  SECTION 1.1.  Definition of Terms............................................1

ARTICLE II   GENERAL TERMS AND CONDITIONS OF THE NOTES.........................3

  SECTION 2.1.  Designation and Principal Amount; Guarantees...................3
  SECTION 2.2.  Maturity.......................................................3
  SECTION 2.3.  Form and Payment...............................................3
  SECTION 2.4.  Global Note....................................................4
  SECTION 2.5.  Payment of Principal and Interest..............................4

ARTICLE III  REDEMPTION OF THE NOTES; DEFEASANCE...............................6

  SECTION 3.1.  Redemption at the Company's Option.............................6
  SECTION 3.2.  No Sinking Fund................................................7
  SECTION 3.3.  Defeasance.....................................................7

ARTICLE IV   MISCELLANEOUS.....................................................7

  SECTION 4.1.  Ratification of Indenture......................................7
  SECTION 4.2.  Trustee Not Responsible for Recitals...........................8
  SECTION 4.3.  Governing Law..................................................8
  SECTION 4.4.  Separability...................................................8
  SECTION 4.5.  Counterparts...................................................8
  SECTION 4.6.  Amendments.....................................................8

EXHIBIT A -  FORM OF NOTE

<PAGE>

          SECOND  SUPPLEMENTAL  INDENTURE,  dated as of  ____________, 2001 (the
"Second  Supplemental  Indenture"),  among Vectren  Utility  Holdings,  Inc., an
Indiana  corporation  (the  "Company"),  Indiana Gas Company,  Inc.,  an Indiana
corporation and an Ohio corporation  ("Indiana  Gas"),  Southern Indiana Gas and
Electric Company, an Indiana corporation  ("SIGECO") and Vectren Energy Delivery
of Ohio,  Inc., an Ohio corporation  ("VEDO",  and together with Indiana Gas and
SIGECO, the "Initial  Guarantors") and U.S. Bank Trust National Association (the
"Trustee").

          WHEREAS, the Company and the Initial Guarantors executed and delivered
the Indenture dated as of October 19, 2001 (the "Base Indenture") to the Trustee
to provide for the Company's  unsecured  notes,  debentures or other evidence of
indebtedness of the Company (collectively, the "Securities"), and the Guarantees
(as hereinafter  defined), to be issued from time to time in one or more series,
as might be determined by the Company under the Base Indenture;

          WHEREAS,  pursuant  to the terms of the Base  Indenture,  the  Company
desires to provide for the establishment of a new series of its Securities to be
known as its 6 5/8%  Senior  Notes due  December 1, 2011 (the  "Notes")  and the
unconditional guarantees by the Guarantors (as defined herein) of the payment of
the  amounts  owed with  respect to the Notes (the  "Guarantees"),  the form and
terms of such Notes and the terms,  provisions  and  conditions of the Notes and
the Guarantees to be set forth as provided in the Base Indenture and this Second
Supplemental Indenture (together, the "Indenture");

          WHEREAS,  the Company and the Initial  Guarantors  requested  that the
Trustee  execute  and  deliver  this  Second  Supplemental   Indenture  and  all
requirements  necessary  to make this  Second  Supplemental  Indenture  a valid,
binding and enforceable instrument in accordance with its terms, and to make the
Notes,  when executed,  authenticated  and delivered by the Company and with the
Guarantees endorsed thereon and executed by the Guarantors,  the valid,  binding
and enforceable  obligations of the Company and the  Guarantors,  as applicable,
have been made:

          NOW, THEREFORE, in consideration of the purchase and acceptance of the
Notes by the Holders thereof,  and for the purpose of setting forth, as provided
in the Base Indenture,  the form and terms of the Notes, each of the Company and
the Initial Guarantors, as applicable,  covenants and agrees with the Trustee as
follows:

                                    ARTICLE I

                                   DEFINITIONS

SECTION 1.1.  Definition of Terms.

          Unless the context otherwise requires:

          (a) a term  defined in the Base  Indenture  has the same  meaning when
used in this Second Supplemental Indenture;

          (b) a term defined anywhere in this Second Supplemental  Indenture has
the same meaning throughout;

          (c) the singular includes the plural and vice versa;

          (d) headings are for  convenience  of reference only and do not affect
interpretation;

          (e) the  following  terms  have  the  meanings  given  to them in this
Section 1.1(e):

                    "Notes" shall have the meaning specified in Section 2.1.

                    "Global  Note"  shall have the  meaning set forth in Section
                    2.4.

                    "Guarantors"  shall have the  meaning  specified  in Section
                    2.1.

                    "Interest  Payment Date" means June 1 and December 1 of each
                    year, beginning June 1, 2002.

                    "Maturity Date" shall have the meaning  specified in Section
                    2.2.

                    "Original Issue Date" means November 30, 2001.

                    "Redemption  Price"  shall  have the  meaning  specified  in
                    Section 3.1.

                    "Regular  Record Date"  means,  with respect to any Interest
                    Payment  Date  the  Notes,  the  close  of  business  on the
                    fifteenth day of the month  immediately  preceding the month
                    in which such Interest Payment Date falls.

                    The following  terms shall have the respective  meanings set
                    forth in the recitals to this Second Supplemental Indenture:

                    "Base Indenture"
                    "Company"
                    "Guarantees"
                    "Indenture"
                    "Indiana Gas"
                    "Initial Guarantors"
                    "Second Supplemental Indenture"
                    "Securities"
                    "SIGECO"
                    "Trustee"
                    "VEDO"

                                   ARTICLE II

                    GENERAL TERMS AND CONDITIONS OF THE NOTES

SECTION 2.1.  Designation and Principal Amount; Guarantees.

          There is hereby  authorized a series of  Securities  designated  the 6
5/8%  Senior  Notes due  December  1,  2011 (the  "Notes")  limited  (except  as
otherwise provided in Article 2 of the Indenture) in aggregate  principal amount
to $250,000,000. The Notes may be issued from time to time upon written order of
the Company for the  authentication  and  delivery of Notes  pursuant to Section
2.03 of the Base Indenture.  Each of the Initial Guarantors  (together with each
other  subsidiary  of the Company  that  pursuant to the terms of the  Indenture
guarantees  the Company's  obligations  under the Notes and the  Indenture,  the
"Guarantors")  unconditionally  and  jointly  and  severally  guarantees  to the
Holders of the Notes upon which the Guarantees are endorsed, upon authentication
and delivery by the Trustee,  the due and punctual  payment of the principal of,
and interest on, and any Redemption Price with respect to the Notes, when and as
the same  shall  become  due and  payable,  whether  at  Stated  Maturity,  upon
acceleration  or redemption or  otherwise,  in accordance  with the terms of the
Notes and of the Indenture.

SECTION 2.2.  Maturity.

          The date upon which the  principal  on the Notes shall  become due and
payable at final  maturity  is  December  1, 2011 (the  "Maturity  Date") if not
redeemed in full previously in accordance with Article III of this  Supplemental
Indenture.

SECTION 2.3.  Form and Payment.

          Except as provided in Section  2.4, the Notes shall be issued in fully
registered certificated form without interest coupons,  bearing identical terms.
Principal  of and  interest on the Notes will be payable,  the  transfer of such
Notes will be registrable and such Notes will be exchangeable  for Notes bearing
identical terms and provisions at the office or agency of the Company maintained
for such purpose as described below.

          The Company hereby  designates  the Borough of Manhattan,  The City of
New York as a place of payment  ("Place  of  Payment")  for the  Notes,  and the
office or agency  maintained  by the  Company in such  Place of Payment  for the
purposes contemplated by this Section 2.3 shall initially be the Corporate Trust
Office of the Trustee at 100 Wall Street,  Suite 2000, New York, New York 10005,
Attention: Richard Prokosch.

          The Notes shall be issuable in  denominations  of $1,000 and  integral
multiples of $1,000 in excess thereof.

          The Notes may be issued, in whole or in part, in permanent global form
and, if issued in permanent  global form, the Depository shall be The Depository
Trust  Company or such other  depositary  as any officer of the Company may from
time to time designate.

          The  Registrar,  the Paying Agent and the transfer agent for the Notes
shall initially be the Trustee.

          The Notes  shall be in  substantially  the form set forth in Exhibit A
hereto.

SECTION 2.4.  Global Note.

          (a)  Unless  and until it is  exchanged  for the  Notes in  registered
certificated  form,  a global Note in principal  amount  equal to the  aggregate
principal amount of all outstanding Notes ("Global Note") may be transferred, in
whole but not in part, only to the Depository or a nominee of the Depository, or
to a successor Depository or to a nominee of such successor Depository.

          (b) If at any time (i) the Depository  notifies the Company that it is
unwilling  or unable to continue  as a  Depository  for the Global  Notes and no
successor  Depository  shall  have  been  appointed  within 90 days  after  such
notification,  (ii) the  Depository  ceases to be a clearing  agency  registered
under  the  Securities  Exchange  Act of 1934 or any  other  applicable  rule or
regulation and no successor  Depository shall have been appointed within 90 days
after  the  Company  becoming  aware  of  the  Depository's  ceasing  to  be  so
registered,  (iii) the  Company,  in its sole  discretion,  determines  that the
Global Notes shall be so  exchangeable  or (iv) there shall have occurred and be
continuing  an Event of  Default,  the Company  will  execute,  and,  subject to
Article II of the Base  Indenture,  the Trustee,  upon  written  notice from the
Company,  will authenticate and deliver the Notes, with the Guarantees  endorsed
thereon and executed by the Guarantors,  in registered certificated form without
coupons, in authorized denominations, and in an aggregate principal amount equal
to the  principal  amount of the Global Note in exchange  for such Global  Note.
Upon the exchange of the Global Note for such Notes in  registered  certificated
form without  coupons,  in  authorized  denominations,  the Global Note shall be
cancelled by the Trustee.  Such Notes in registered  certificated form issued in
exchange  for the  Global  Note  shall be  registered  in such names and in such
authorized  denominations as the Depository,  pursuant to instructions  from its
direct or indirect  participants or otherwise,  shall instruct the Trustee.  The
Trustee shall deliver such Notes to the  Depository  for delivery to the Persons
in whose names such Notes are so registered.

SECTION 2.5.  Payment of Principal and Interest.

          The Notes  shall bear  interest  at the per annum rate of 6 5/8%.  The
following terms apply to the Notes:

          Interest  shall be paid  semi-annually  in  arrears  on each  Interest
Payment  Date  commencing  on the  Interest  Payment  Date next  succeeding  the
Original Issue Date and, if applicable,  on the Maturity Date or date of earlier
redemption,  as the case may be.  Payments of interest on the Notes will include
interest accrued from, and including, the immediately preceding Interest Payment
Date to  which  interest  has  been  paid or duly  provided  for (or  from,  and
including, the Original Issue Date if no interest has been paid or duly provided
for) to, but  excluding,  the applicable  Interest  Payment Date or the Maturity
Date or date of earlier  redemption,  as the case may be. Interest  payments for
the Notes shall be computed and paid on the basis of a 360-day  year  consisting
of twelve 30-day months.

          The interest so payable and  punctually  paid or duly  provided for on
any Interest  Payment Date will be paid to the  Holder(s) of the Notes as of the
Regular  Record Date for such Interest  Payment Date.  Any such interest that is
not so punctually  paid or duly  provided for on any Interest  Payment Date will
forthwith  cease to be payable to the Holders of the particular  series of Notes
as of the close of business on such  Regular  Record Date and may either be paid
to the Person or Persons in whose name such Notes are registered at the close of
business on a Special Record Date for the payment of such defaulted  interest to
be fixed by the  Trustee,  notice  whereof  shall  be  given to  Holders  of the
particular  series of Notes by the Trustee not less than fifteen (15) days prior
to such Special  Record Date, or be paid at any time in any other lawful manner,
all as more fully provided in the Base Indenture.

<PAGE>

          Payment of the  principal  of and any interest on the Notes due on the
Maturity Date or date of earlier  redemption,  as the case may be, shall be made
in immediately available funds, in such coin or currency of the United States of
America  as at the time of payment  is legal  tender  for  payment of public and
private debts,  upon  presentation  and surrender of the applicable Notes at the
office or agency  maintained  by the Company for that  purpose in the Borough of
Manhattan,  The City of New York, currently the office of the Trustee located at
100 Wall Street,  Suite 2000, New York, New York 10005,  or at such other paying
agency in the  Borough of  Manhattan,  The City of New York,  as the Company may
determine.  Payment of interest due on any Interest  Payment Date other than the
Maturity  Date or date of earlier  redemption  will be made by wire  transfer of
immediately  available  funds at such  place  and to such  account  at a banking
institution  in the  United  States  as  may  be  designated  in  wire  transfer
instructions received in writing by the Trustee at least sixteen (16) days prior
to such Interest Payment Date. Any such wire transfer  instructions  received by
the Trustee shall remain in effect until revoked by such Holder.

          In the event that any Interest  Payment  Date or the Maturity  Date or
date of  earlier  redemption  falls on a day  that is not a  Business  Day,  the
required payment of principal and/or interest payable on such date shall be made
on the next succeeding Business Day with the same force and effect as if made on
the date such payment was due, and no interest shall accrue with respect to such
payment for the period from and after such Interest Payment Date or the Maturity
Date or date of  earlier  redemption,  as the case  may be,  to the date of such
payment on the next succeeding Business Day.

                                   ARTICLE III

                       REDEMPTION OF THE NOTES; DEFEASANCE

SECTION 3.1.  Redemption at the Company's Option.

          The Notes shall be subject to redemption at the option of the Company,
in whole or in part,  without  premium or penalty,  at any time, at a redemption
price (the "Redemption Price") equal to the greater of (1) 100% of the principal
amount of the Notes to be redeemed and (2) the sum of the present  values of the
remaining  scheduled  payments  of  principal  and  interest  on the Notes to be
redeemed  discounted to the redemption  date  semi-annually  (assuming a 360-day
year consisting of twelve 30-day months) at the Treasury Rate (as defined below)
plus 25 basis points,  plus, in either case, any unpaid interest  accrued to the
date of redemption.

          In the event of  redemption  of a series of Notes in part only,  a new
Note or Notes of such series for the  unredeemed  portion  will be issued in the
name or  names  of the  Holders  thereof  upon the  presentation  and  surrender
thereof, as set forth in Section 3A.08 of the Base Indenture.

          Notice of  redemption  shall be given as provided in Section  3A.05 of
the Base Indenture.

          Any  redemption  of less  than all of a series  of Notes  shall,  with
respect to the principal thereof, be divisible by $1,000.

          For purposes of this Section.

          "Treasury Rate" means,  with respect to any redemption  date, the rate
per  annum  equal  to  the  semi-annual  equivalent  yield  to  maturity  of the
Comparable  Treasury Issue,  assuming a price for the Comparable  Treasury Issue
(expressed  as a percentage of its  principal  amount)  equal to the  Comparable
Treasury Price for such redemption date.

          "Comparable  Treasury Issue" means the United States Treasury security
selected by an Independent  Investment Banker as having a maturity comparable to
the  remaining  term of the Notes to be redeemed that would be used, at the time
of selection and in accordance with customary financial practice, in pricing new
issues of corporate debt securities of comparable maturity to the remaining term
of such Notes.

          "Independent  Investment  Banker" means one of the Reference  Treasury
Dealers  appointed by the Trustee  after  consultation  with the Company and the
Guarantors.

          "Comparable  Treasury  Price"  means,  with respect to any  redemption
date,  (1) the average of the bid and asked prices for the  Comparable  Treasury
Issue  (expressed in each case as a percentage  of its principal  amount) on the
third  Business Day preceding  such  redemption  date, as set forth in the daily
statistical  release (or any successor release) published by the Federal Reserve
Bank of New  York  and  designated  "Composite  3:30  p.m.  Quotations  for U.S.
Government  Securities" or (2) if such release (or any successor release) is not
published or dos not contain such prices on such  Business  Day, (a) the average
of the Reference Treasury Dealer Quotations, or (b) if the Trustee obtains fewer
than four such Reference  Treasury  Dealer  Quotations,  the average of all such
quotations.

          "Reference  Treasury Dealer  Quotations"  means,  with respect to each
Reference Treasury Dealer and any redemption date, the average, as determined by
the  Trustee,  of the bid and asked  prices for the  Comparable  Treasury  Issue
(expressed  in each case as a  percentage  of its  principal  amount)  quoted in
writing to the  Trustee by such  Reference  Treasury  Dealer at 5:00 p.m. on the
third Business Day preceding such redemption date.

          "Reference Treasury Dealer" means each of ABN AMRO Incorporated,  Banc
One Capital Markets,  Inc., BNY Capital Markets,  Inc. and Goldman,  Sachs & Co.
and their respective successors; provided, however, that if any of the foregoing
shall cease to be a primary U.S.  Government  securities dealer in New York City
(a "Primary Treasury Dealer"), such former dealer shall be replaced with another
Primary Treasury Dealer.

SECTION 3.2.  No Sinking Fund.

          The Notes are not  subject  to, or  entitled  to the  benefit  of, any
sinking fund.

SECTION 3.3.  Defeasance.

          Defeasance and Covenant Defeasance shall apply to the Notes.

                                   ARTICLE IV

                                  MISCELLANEOUS

SECTION 4.1.  Ratification of Indenture.

          The  Base  Indenture,  as  supplemented  by this  Second  Supplemental
Indenture,  is  in  all  respects  ratified  and  confirmed,   and  this  Second
Supplemental  Indenture  shall be deemed part of the Indenture in the manner and
to the extent herein and therein provided.

SECTION 4.2.  Trustee Not Responsible for Recitals.

          The recitals  herein  contained are made by the Company and not by the
Trustee,  and the Trustee assumes no responsibility for the correctness thereof.
The Trustee makes no  representation  as to the validity or  sufficiency of this
Second Supplemental Indenture.

SECTION 4.3.  Governing Law.

          This Second  Supplemental  Indenture  and each Note  issued  hereunder
shall be deemed to be a contract  made under the  internal  laws of the State of
Indiana and for all purposes  shall be governed by and  construed in  accordance
with the laws of said State without regard to principles of conflicts of law.

SECTION 4.4.  Separability.

          In case any one or more of the  provisions  contained  in this  Second
Supplemental  Indenture  or in the  Notes  shall  for any  reason  be held to be
invalid,  illegal or unenforceable in any respect, then, to the extent permitted
by law, such  invalidity,  illegality or  unenforceability  shall not affect any
other provisions of this Second Supplemental Indenture or of the Notes, but this
Second  Supplemental  Indenture  and the  Notes  shall be  construed  as if such
invalid or illegal or unenforceable provision had never been contained herein or
therein.

SECTION 4.5.  Counterparts.

          This Second Supplemental  Indenture may be simultaneously  executed in
any number of counterparts, each of which when so executed shall be an original,
and all  such  counterparts  shall  together  constitute  but  one and the  same
instrument.

SECTION 4.6.  Amendments.

          Notwithstanding any other provision hereof, all amendments to the Base
Indenture made hereby shall have effect only with respect to the Notes,  and not
with respect to the  Securities  of any other series  created  subsequent to the
date hereof.

                            [signature page follows]
<PAGE>

          IN WITNESS  WHEREOF,  the  parties  hereto  have  caused  this  Second
Supplemental  Indenture  to  be  duly  executed  by  their  respective  officers
thereunto duly authorized, on the date or dates indicated in the acknowledgments
and as of the day and year first above written.

                                        VECTREN UTILITY HOLDINGS, INC.
                                        as Issuer

                                        By: /s/
                                           -------------------------------------
                                        Name:
                                             -----------------------------------
                                        Title:
                                              ----------------------------------

Attest:

By: /s/
    ------------------------------------
Name:
      ----------------------------------
Title:
       ---------------------------------

                                        INDIANA GAS COMPANY, INC.
                                        as Initial Guarantor

                                        By: /s/
                                           -------------------------------------
                                        Name:
                                             -----------------------------------
                                        Title:
                                              ----------------------------------
Attest:

By: /s/
    ------------------------------------
Name:
      ----------------------------------
Title:
       ---------------------------------

                                        SOUTHERN INDIANA GAS AND ELECTRIC
                                          COMPANY
                                        as Initial Guarantor

                                        By: /s/
                                           -------------------------------------
                                        Name:
                                             -----------------------------------
                                        Title:
                                              ----------------------------------

<PAGE>

Attest:

By: /s/
    ------------------------------------
Name:
      ----------------------------------
Title:
       ---------------------------------

                                        VECTREN ENERGY DELIVERY OF OHIO, INC.
                                        as Initial Guarantor

                                        By: /s/
                                           -------------------------------------
                                        Name:
                                             -----------------------------------
                                        Title:
                                              ----------------------------------
Attest:

By: /s/
    ------------------------------------
Name:
      ----------------------------------
Title:
       ---------------------------------

                                        U.S. BANK TRUST NATIONAL ASSOCIATION
                                        as Trustee

                                        By: /s/
                                           -------------------------------------
                                        Name:
                                             -----------------------------------
                                        Title:
                                              ----------------------------------
Attest:

By: /s/
    ------------------------------------
Name:
      ----------------------------------
Title:
       ---------------------------------

<PAGE>
                                                                       Exhibit A
                                                                       ---------

                             [Form of Face of Note]

          UNLESS THIS SECURITY IS PRESENTED BY AN AUTHORIZED  REPRESENTATIVE  OF
THE DEPOSITORY TRUST COMPANY ("DTC"), 55 WATER STREET, NEW YORK, NEW YORK TO THE
ISSUER OR ITS AGENT FOR REGISTRATION OF TRANSFER,  EXCHANGE OR PAYMENT, AND SUCH
SECURITY  ISSUED IS  REGISTERED IN THE NAME OF CEDE & CO., OR SUCH OTHER NAME AS
REQUESTED BY AN AUTHORIZED  REPRESENTATIVE OF DTC, ANY TRANSFER, PLEDGE OR OTHER
USE HEREOF FOR VALUE OR  OTHERWISE  BY OR TO ANY PERSON IS  WRONGFUL,  SINCE THE
REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.

          UNLESS  IT  IS  EXCHANGED  IN  WHOLE  OR IN  PART  FOR  SECURITIES  IN
DEFINITIVE  REGISTERED  FORM,  THIS SECURITY MAY NOT BE TRANSFERRED  EXCEPT AS A
WHOLE  BY DTC TO A  NOMINEE  OF DTC  OR BY A  NOMINEE  OF DTC TO DTC OR  ANOTHER
NOMINEE OF DTC OR BY DTC OR ANY SUCH  NOMINEE TO A SUCCESSOR OF DTC OR A NOMINEE
OF SUCH SUCCESSOR.

                         Vectren Utility Holdings, Inc.
                     6 5/8% Senior Note due DECEMBER 1, 2011

RATE OF INTEREST              STATED MATURITY DATE           ORIGINAL ISSUE DATE
----------------              --------------------           -------------------
     6 5/8%                     December 1, 2011              November 30, 2001

Registered No. 1                                           CUSIP No. 92239M AC 5

          Vectren  Utility  Holdings,  Inc., a  corporation  duly  organized and
existing under the laws of the State of Indiana  (herein called the  "Company"),
for value  received,  hereby  promises to pay,  without relief from valuation or
appraisement  laws,  to Cede & Co. or registered  assigns,  the principal sum of
$250,000,000  on the Stated  Maturity  Date shown above or any  earlier  date of
redemption in accordance  with the  provisions on the reverse  hereof (each such
date shall be  referred  to herein as the  "Maturity  Date" with  respect to the
principal  payable  on  such  date),  and to  pay  interest  on the  outstanding
principal of this Note , at the annual Rate of Interest  shown  above,  from the
Original  Issue Date shown above or from the most recent  Interest  Payment Date
(as  hereinafter  defined) to which interest has been paid or duly provided for,
payable  semi-annually on June 1 and December 1 of each year, commencing on June
1, 2002 (an "Interest Payment Date"), and on the Maturity Date.

          The interest so payable and  punctually  paid or duly  provided for on
any  Interest  Payment  Date  will be paid to the  Holder of this Note as of the
Regular  Record Date for such Interest  Payment Date.  Any such interest that is
not so punctually  paid or duly  provided for on any Interest  Payment Date will
forthwith  cease to be  payable  to the  Holders of this Note as of the close of
business  on such  Regular  Record  Date and may either be paid to the Person or
Persons  in whose name this Note is  registered  at the close of  business  on a
Special  Record Date for the payment of such  defaulted  interest to be fixed by
the Trustee referred to on the reverse hereof,  notice whereof shall be given to
Holders of the Notes by the Trustee not less than  fifteen  (15)  calendar  days
prior to such Special  Record  Date,  or be paid at any time in any other lawful
manner,  all as more fully provided in the Indenture  referred to on the reverse
hereof.

          Interest  payable on this Note on any Interest Payment Date and on the
Maturity Date, as the case may be, will be the amount of interest accrued during
the applicable Interest Period (as defined below).

          An "Interest Period" is each period from and including the immediately
preceding  Interest  Payment Date (or from and including the Original Issue Date
in the case of the initial  Interest  Period) to but  excluding  the  applicable
Interest  Payment Date or the Maturity Date, as the case may be. If any Interest
Payment  Date or  Maturity  Date  falls  on a day  that is not a  Business  Day,
principal  and  interest  payable  on such date  will be paid on the  succeeding
Business  Day with the same force and effect as if it were paid on the date such
payment was due,  and no  interest  will accrue on the amount so payable for the
period from and after such date to such succeeding  Business Day. "Business Day"
means any day, other than a Saturday or a Sunday, on which banking  institutions
in The City of New York are not authorized or required to be closed.

          Payment of the principal of, and any interest on, this Note due on the
Maturity  Date shall be made in  immediately  available  funds,  in such coin or
currency  of the  United  States of  America  as at the time of payment is legal
tender for payment of public and private debts,  upon presentation and surrender
of this Note at the office or agency  maintained by the Company for that purpose
in the Borough of Manhattan,  The City of New York,  currently the office of the
Trustee located at 100 Wall Street,  Suite 2000, New York, New York 10005, or at
such other paying agency in the Borough of  Manhattan,  The City of New York, as
the Company may determine.  Payment of interest due on this Note on any Interest
Payment  Date  other than the  Maturity  Date will be made by wire  transfer  of
immediately  available  funds at such  place  and to such  account  at a banking
institution  in the  United  States  as  may  be  designated  in  wire  transfer
instructions received in writing by the Trustee at least sixteen (16) days prior
to such Interest Payment Date. Any such wire transfer  instructions  received by
the Trustee shall remain in effect until revoked by such Holder.

          Reference  is hereby made to the further  provisions  of this Note set
forth on the reverse  hereof,  which further  provisions  shall for all purposes
have the same effect as if set forth at this place.

          Unless the certificate of  authentication  hereon has been executed by
the Trustee by manual signature,  this Note shall not be entitled to any benefit
under the Indenture or the Guarantees  (as defined on the reverse  hereof) or be
valid or obligatory for any purpose.

<PAGE>

          In Witness  Whereof,  Vectren Utility  Holdings,  Inc. has caused this
Note to be executed by two of its duly authorized officers.

                                        Vectren Utility Holdings, Inc.

                                        By:
                                           -------------------------------------
                                        Title:
                                              ----------------------------------

                                        By:
                                           -------------------------------------
                                        Title:
                                              ----------------------------------

DATED:  ___________, 2001

Trustee's Certificate of Authentication

This is one of the Notes referred to in the within-mentioned Indenture.

U.S. BANK TRUST NATIONAL ASSOCIATION,
As Trustee

By:
   -------------------------------------
      Authorized Signatory

<PAGE>

                            [Form of Reverse of Note]

                         Vectren Utility Holdings, Inc.
                    6 5/8 % Senior Notes due DECEMBER 1, 2011

          This  Note is one of a duly  authorized  series of  Securities  of the
Company  (which term  includes any successor  corporation  under the Indenture )
designated  as its "6 5/8 % Senior  Notes due  December 1, 2011" (the  "Notes"),
issued or to be issued  pursuant to an Indenture,  dated as of October 19, 2001,
as amended by the Second  Supplemental  Indenture  dated  November 30, 2001 (the
"Indenture"),  delivered by the Company and Indiana Gas Company,  Inc., Southern
Indiana Gas and Electric Company, and Vectren Energy Delivery of Ohio, Inc. (the
"Initial  Guarantors"  and,  together with each other  subsidiary of the Company
that pursuant to the terms of the Indenture guarantees the Company's obligations
under the Indenture, the "Guarantors"), to U.S. Bank Trust National Association,
as Trustee (the "Trustee,"  which term includes any successor  trustee under the
Indenture).  The terms of this Note include  those stated in the  Indenture  and
those made part of the  Indenture  by reference  to the Trust  Indenture  Act of
1939, as in effect on the date of the Indenture. Reference is hereby made to the
Indenture and all further supplemental indentures thereto for a statement of the
respective rights, limitation of rights, duties and immunities thereunder of the
Company, the Guarantors, the Trustee and the Holders and of the terms upon which
the Notes are, and are to be, authenticated and delivered. All capitalized terms
not defined herein shall have the meanings given to them in the Indenture.

          Payments  of  principal  and  interest in respect of the Notes will be
fully  and  unconditionally   and  jointly  and  severally   guaranteed  by  the
Guarantors,  subject  to the  termination  of  any  Guarantee  of any  Guarantor
pursuant to the terms of Article Ten of the Indenture.

          The Notes are a series  of debt  securities  issued or to be issued by
the  Company  under the  Indenture,  and this  Series is  limited  in  aggregate
principal  amount to  $250,000,000,  subject to the reopening  provisions of the
Indenture.  The  Indenture  provides  that the debt  securities  of the  Company
issuable or issued  thereunder (the  "Securities"),  including the Notes, may be
issued  in one or more  series,  which  different  series  may be issued in such
aggregate  principal amounts and on such terms  (including,  but not limited to,
terms  relating to  interest  rate or rates,  provisions  for  determining  such
interest rate or rates and adjustments thereto,  maturity,  redemption (optional
and  mandatory),  sinking  fund,  covenants  and  Events of  Default)  as may be
provided in or  pursuant  to the  Authorizing  Resolutions  and/or  supplemental
indenture (if any) relating to the Series.

          This Note is subject to redemption upon not less than 30 nor more than
60 days' prior written notice to the Holder hereof, at any time, without premium
or penalty,  in whole or in part, at the election of the Company at a redemption
price (the "Redemption Price") equal to the greater of (1) 100% of the principal
amount hereof, and (2) the sum of the present values of the remaining  scheduled
payments of principal  and interest on this Note  discounted  to the  redemption
date semi-annually  (assuming a 360-day year consisting of twelve 30-day months)
at the Treasury Rate (as defined below),  plus 25 basis points,  plus, in either
case, any unpaid interest accrued to the date of redemption.

          "Treasury Rate" means,  with respect to any redemption  date, the rate
per  annum  equal  to  the  semi-annual  equivalent  yield  to  maturity  of the
Comparable  Treasury Issue,  assuming a price for the Comparable  Treasury Issue
(expressed  as a percentage of its  principal  amount)  equal to the  Comparable
Treasury Price for such redemption date.

          "Comparable  Treasury Issue" means the United States Treasury security
selected by an Independent  Investment Banker as having a maturity comparable to
the remaining term of this Note that would be used, at the time of selection and
in  accordance  with  customary  financial  practice,  in pricing  new issues of
corporate debt  securities of comparable  maturity to the remaining term of this
Note.

          "Independent  Investment  Banker" means one of the Reference  Treasury
Dealers  appointed by the Trustee  after  consultation  with the Company and the
Guarantors.

          "Comparable  Treasury  Price"  means,  with respect to any  redemption
date,  (1) the average of the bid and asked prices for the  Comparable  Treasury
Issue  (expressed in each case as a percentage  of its principal  amount) on the
third  Business Day preceding  such  redemption  date, as set forth in the daily
statistical  release (or any successor release) published by the Federal Reserve
Bank of New  York  and  designated  "Composite  3:30  p.m.  Quotations  for U.S.
Government  Securities" or (2) if such release (or any successor release) is not
published or dos not contain such prices on such  Business  Day, (a) the average
of the Reference Treasury Dealer Quotations, or (b) if the Trustee obtains fewer
than four such Reference  Treasury  Dealer  Quotations,  the average of all such
quotations.

          "Reference  Treasury Dealer  Quotations"  means,  with respect to each
Reference Treasury Dealer and any redemption date, the average, as determined by
the  Trustee,  of the bid and asked  prices for the  Comparable  Treasury  Issue
(expressed  in each case as a  percentage  of its  principal  amount)  quoted in
writing to the  Trustee by such  Reference  Treasury  Dealer at 5:00 p.m. on the
third Business Day preceding such redemption date.

          "Reference Treasury Dealer" means each of ABN AMRO Incorporated,  Banc
One Capital Markets,  Inc., BNY Capital Markets,  Inc. and Goldman,  Sachs & Co.
and  their  respective  successors;  provided,  however,  that  if  any  of  the
foregoing,  shall cease to be a primary U.S. Government securities dealer in New
York City (a "Primary  Treasury  Dealer"),  such former dealer shall be replaced
with another Primary Treasury Dealer.

          If an Event of Default,  as defined in the Indenture,  shall occur and
be  continuing,  the principal of all the Notes may be (and,  in certain  cases,
shall be) declared due and payable in the manner and with the effect provided in
the Indenture.

          The Indenture  permits,  with certain  exceptions as therein provided,
the amendment  thereof and the modification of the rights and obligations of the
Company and, if applicable, the Guarantors, and the rights of the Holders of the
Notes at any time by the Company, the Guarantors, if applicable, and the Trustee
with the consent of the Holders of a majority in aggregate  principal  amount of
the Securities affected thereby, voting as a single class (which may include the
Notes),  at  the  time  outstanding.  The  Indenture  also  contains  provisions
permitting the Holders of a majority in aggregate  principal  amount of the then
outstanding  Securities  affected  thereby,  voting as a single class (which may
include the Notes) to waive compliance by the Company with certain provisions of
the  Indenture  and  certain  past  defaults   under  the  Indenture  and  their
consequences.  Any such  consent  or waiver by the  Holder of this Note shall be
conclusive and binding upon such Holder and upon all future Holders of this Note
and of any Note issued upon the  registration  of transfer hereof or in exchange
herefor in lieu  hereof,  whether or not  notation of such  consent or waiver is
made upon this Note.

          The Indenture  provides that no Holder may pursue any remedy under the
Indenture  unless the Trustee  shall have failed to act after notice of an Event
of Default and written request by Holders of at least 25% in aggregate principal
amount of the Notes and the offer to the Trustee of  indemnity  satisfactory  to
it;  provided  however,  such provision does not affect the right of a Holder to
sue for enforcement of any overdue payment on this Note.

          No reference  herein to the Indenture and no provision of this Note or
of the Indenture  shall alter or impair the obligation of the Company,  which is
absolute and unconditional, to pay the principal of and interest on this Note at
the times, places and rates, and in the coin or currency, herein prescribed.

          As provided in the Indenture and subject to certain limitations herein
and therein set forth,  the transfer of this Note is registrable in the Security
Register upon surrender of this Note for  registration of transfer at the agency
of the Company  provided for that purpose duly endorsed by, or  accompanied by a
written  instrument of transfer in substantially the form accompanying this Note
duly executed by, the Holder hereof or his attorney duly  authorized in writing,
and thereupon one or more new Notes,  of  authorized  denominations  and for the
same aggregate principal amount, will be issued to the designated  transferee or
transferees.

          The Notes are issuable  only in  registered  form  without  coupons in
denominations of $1,000 and any integral  multiple  thereof.  As provided in the
Indenture and subject to certain  limitations  herein and therein set forth, the
Notes  are  exchangeable  for a like  aggregate  principal  amount of Notes of a
different authorized denominations,  as requested by the Holder surrendering the
same.

          No service charge shall be made for any such  registration of transfer
or exchange,  but the Company may require  payment of a sum  sufficient to cover
any transfer tax or similar  governmental charge payable in connection therewith
(other than any such transfer taxes or similar  governmental charge payable upon
exchanges  pursuant to Section 2.11,  3A.08 or 9.05, in which case such transfer
taxes or similar governmental charges shall be paid by the Company).

          Prior to due  presentment of this Note for  registration  of transfer,
the  Company,  the  Guarantors,  the Trustee and any agent of the  Company,  the
Guarantors  or the Trustee may treat the Holder of this Note as the owner hereof
for all purposes,  whether or not this Note be overdue, and none of the Company,
the Guarantors, the Trustee or any such agent shall be affected by notice to the
contrary.

          This  Note  shall  be  governed  by the laws of the  State of  Indiana
without regard to principles of conflicts of law.

<PAGE>

                                 ASSIGNMENT FORM

If you the Holder want to assign this Note, fill in the form below and have your
signature guaranteed:

I or we assign and transfer this Note to:

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------
(PRINT OR TYPE NAME,  ADDRESS AND ZIP CODE AND SOCIAL  SECURITY OR TAX ID NUMBER
OF ASSIGNEES)

and irrevocably appoint,  _________________________  agent to transfer this Note
on the books of the Company. The agent may substitute another to act for him.

Dated:                            Signed:
      -------------------------          ---------------------------------------

      -------------------------          ---------------------------------------

                                         (SIGN  EXACTLY AS  NAME  APPEARS ON THE
                                         OTHER SIDE OF THIS NOTE.)

SIGNATURE GUARANTEE:

---------------------------------------------------------

Notice:  Signature(s)  must be guaranteed by a member firm of the New York Stock
Exchange or a commercial bank or trust company.

<PAGE>

                           [Form of Guarantee of Note]

          For good  and  valuable  consideration  receipt  of  which  is  hereby
acknowledged,  and  intending to be legally  bound  hereby,  each of Indiana Gas
Company,  Inc.,  Southern Indiana Gas and Electric  Company,  and Vectren Energy
Delivery of Ohio, Inc.  (together with each other subsidiary of the Company that
pursuant to the terms of the  Indenture  guarantees  the  Company's  obligations
under the Notes and the Indenture,  the "Guarantors") hereby unconditionally and
jointly  and  severally  guarantees  to the  Holder  of the note  (the  "Note"),
authenticated  and  delivered by the  Trustee,  upon which this  guarantee  (the
"Guarantee") is endorsed,  the due and punctual  payment of the principal of and
interest on, and any Redemption Price with respect to, the Note, when and as the
same shall become due and payable, whether at Stated Maturity, upon acceleration
or redemption or otherwise, in accordance with the terms of this Note and of the
Indenture.

          The Guarantors agree to determine,  at least one Business Day prior to
the date upon  which a payment  of  principal  of and/or  interest  on,  and any
Redemption  Price with  respect to, the Note,  is due and  payable,  whether the
Company has  available  the funds to make such  payment as the same shall become
due and  payable.  In case of the failure of the Company to  punctually  pay any
such principal of or interest on, and any Redemption  Price with respect to, the
Note,  the  Guarantors  hereby  agree  to  cause  any  such  payment  to be made
punctually when and as the same shall become due and payable,  whether at Stated
Maturity,  upon acceleration or redemption or otherwise,  and as if such payment
were made by the Company.

          The Guarantors hereby agree that their obligations  hereunder shall be
as principal and not merely as surety, and shall be unconditional,  irrevocable,
and  absolute,  irrespective  of, and shall be  unaffected  by, any  invalidity,
irregularity,  or unenforceability of the Note or such Indenture, any failure to
enforce  the  provisions  of  the  Note  or  the   Indenture,   or  any  waiver,
modification,  consent or indulgence granted to the Company with respect thereto
(unless the same shall also be provided to the  Guarantors) by the Holder of the
Note or the Trustee with respect to any provisions thereof,  the recovery of any
judgment  against the  Company or any action to enforce  the same,  or any other
circumstance which might otherwise  constitute a legal or equitable discharge or
defense of a surety or of a guarantor.  The Guarantors  hereby waive  diligence,
presentment,  demand of  payment,  filing of claims with a court in the event of
merger,  insolvency  or  bankruptcy  of the  Company,  any  right to  require  a
proceeding first against the Company,  protest or notice with respect to any the
Note or the  indebtedness  evidenced  thereby,  and all demands  whatsoever  and
covenants that this  Guarantee will not be discharged  except by payment in full
of the principal of and interest on, and any  Redemption  Price with respect to,
the Note and the complete performance of the obligations  contained in the Note,
this Guarantee and the Indenture.

          The Guarantors  shall be subrogated to all rights of the Holder of the
Note  against the  Company in respect of all amounts  paid to such Holder by the
Guarantors pursuant to the provisions of this Guarantee; provided, however, that
the  Guarantors  shall not,  without  the  consent of the  Holders of all of the
outstanding  Notes (the  "Notes") of the series of which the Note is a part,  be
entitled to enforce or to receive any payments arising out of or based upon such
right of subrogation  until the principal of and interest on, and any Redemption
Price with respect to, all Notes shall have been paid in full or payment thereof
shall have been  provided for and all other  obligations  contained in the Notes
and the Indenture shall have been performed.  If any amount shall be paid to any
Guarantor  in  violation of the  preceding  sentence and all amounts  payable in
respect  of the Notes  shall not have been paid in full,  such  amount  shall be
deemed to have been paid to such Guarantor for the benefit of, and held in trust
for the benefit of, the Holders,  and shall forthwith be paid to the Trustee for
the benefit of the Holders to be credited  and applied upon such  amounts.  Each
Guarantor  acknowledges  that it will receive direct and indirect  benefits from
the issuance of the Notes pursuant to this Indenture.

          Notwithstanding   anything  to  the  contrary   contained  herein,  if
following  any  payment of the  principal,  Redemption  Price or interest by the
Company in respect of the Notes to the Holders of the Notes it is  determined by
a final decision of a court of competent jurisdiction that such payment shall be
avoided by a trustee in bankruptcy  (including  any  debtor-in-possession)  as a
preference  under 11 U.S.C.  Section  547 and such  payment is  returned by such
Holder to such trustee in  bankruptcy,  then the  obligations  of the Guarantors
hereunder shall remain in full force and effect to the extent of such repayment.

          Notwithstanding  anything  to  the  contrary  contained  herein,  this
Guarantee  shall be, and hereby is,  limited to the  maximum  amount that may be
guaranteed by the applicable  Guarantor without rendering this Guarantee,  as it
relates  to such  Guarantor,  voidable  under any  applicable  law  relating  to
fraudulent conveyance,  fraudulent transfer or similar laws affecting the rights
of creditors generally.

          This  Guarantee is intended for the benefit of the Trustee and each of
the  Holders  of the Notes and shall be  enforceable  by such  Trustee  and such
Holders.

          This  Guarantee  is  subject to  termination  in  accordance  with the
provisions of Article 10 of the Indenture.

          This  Guarantee  shall be governed by the laws of the State of Indiana
without regard to principles of conflicts of law.

<PAGE>

          IN  WITNESS  WHEREOF,  Indiana  Gas  Company,  Inc.  has  caused  this
Guarantee to be executed by two of its duly authorized officers.

                                        By:
                                           -------------------------------------
                                           Name:
                                           Title:

                                        By:
                                           -------------------------------------
                                           Name:
                                           Title:

DATED:   November 30, 2001

<PAGE>

IN WITNESS  WHEREOF,  Southern  Indiana Gas and Electric Company has caused this
Guarantee to be executed by two of its duly authorized officers.

                                        By:
                                           -------------------------------------
                                           Name:
                                           Title:

                                        By:
                                           -------------------------------------
                                           Name:
                                           Title:

DATED:  November 30, 2001

<PAGE>

IN WITNESS  WHEREOF,  Vectren  Energy  Delivery  of Ohio,  Inc.  has caused this
Guarantee to be executed by two of its duly authorized officers.

                                        By:
                                           -------------------------------------
                                           Name:
                                           Title:

                                        By:
                                           -------------------------------------
                                           Name:
                                           Title:

DATED:  November 30, 2001Prepared by MERRILL CORPORATION

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Exhibit 4.5    
  

 
 

EXCHANGE AND
  REGISTRATION RIGHTS AGREEMENT    
  

    Dated as of November 6, 2001

by and among 

Tenet
Healthcare Corporation 

and

Credit
Suisse First Boston Corporation,

Salomon Smith Barney Inc.

and

J.P. Morgan Securities Inc. 

As
Representatives of the Initial Purchasers 

    This Exchange and Registration Rights Agreement (this "Agreement") is made and entered into as of November 6, 2001, by and among
Tenet Healthcare Corporation, a Nevada corporation (the "Company"), Credit Suisse First Boston Corporation ("CSFB"), Salomon Smith Barney Inc.
("SSB") and J.P. Morgan Securities Inc. ("J.P. Morgan"), as Representatives of the initial purchasers named in Schedule I to the Purchase Agreement (as
defined below) (collectively, the "Initial Purchasers"). Each of the Initial Purchasers has agreed to purchase the Company's 53/8% Senior
Notes due 2006, 63/8% Senior Notes due 2011 and 67/8% Notes due 2031 (the "Initial Notes"), pursuant to the Purchase
Agreement (as defined below). 

    This
Agreement is made pursuant to the Purchase Agreement, dated October 30, 2001 (the "Purchase Agreement"), by and among the
Company, CSFB, SSB and J.P. Morgan, as Representatives of the Initial Purchasers. In order to induce the Initial Purchasers to purchase the Initial Notes, the Company has agreed to provide the
registration rights set forth in this Agreement. The execution and delivery of this Agreement is a condition to the obligations of the Initial Purchasers under the Purchase Agreement. Capitalized
terms used herein and not otherwise defined shall have the meaning assigned to them in the Indenture, dated as of November 6, 2001, between the Company and The Bank of New York, as Trustee (the
"Indenture") relating to the Initial Notes and the Exchange Notes (as defined below). 

    The
parties hereby agree as follows: 

SECTION 1.  DEFINITIONS  

    As used in this Agreement, the following capitalized terms shall have the following meanings: 

    Act shall mean the Securities Act of 1933, or any successor thereto, as the same may be amended from time to time. 

    Affiliate shall have the meaning set forth in Rule 144 of the Act. 

    Base Interest shall mean the interest that would otherwise accrue on the Notes under the terms thereof and the Indenture, without
giving effect to the provisions of this Agreement. 

    Broker-Dealer shall mean any broker or dealer registered with the Commission under the Exchange Act. 

    Business Day shall mean each Monday, Tuesday, Wednesday, Thursday and Friday that is not a day on which banking institutions in New
York City or Los Angeles are authorized or obligated by law or executive order to close. 

    Closing Date shall mean the date on which the Initial Notes are initially issued. 

    Commission shall mean the United States Securities and Exchange Commission or any other federal agency at the time administering the
Exchange Act or the Securities Act, whichever is the relevant statute for the particular purpose. 

    Consummate: an Exchange Offer shall be deemed "Consummated" for purposes of this Agreement upon the occurrence of (a) the filing
and effectiveness under the Act of the Exchange Offer Registration Statement relating to the Exchange Notes to be issued in the Exchange Offer, (b) the maintenance of such Exchange Offer
Registration Statement continuously effective and the keeping of the Exchange Offer open for a period not less than the period required pursuant to Section 3(b) hereof and (c) the
delivery by the Company to the Registrar under the Indenture of Exchange Notes in the same aggregate principal amount as the aggregate principal amount of Initial Notes tendered by Holders thereof
pursuant to the Exchange Offer. 

    Consummation Deadline shall have the meaning set forth in Section 3(b) hereof. 

    Controlling Person shall have the meaning set forth in Section 8(a) hereof. 

    Effectiveness Deadline shall have the meanings set forth in Section 3(a) and 4(a) hereof. 

 

    Exchange Act shall mean the Securities Exchange Act of 1934, or any successor thereto, as the same may be amended from time to time. 

    Exchange Notes shall mean the Company's 53/8% Senior Notes due 2006, 63/8% Senior Notes due 2011 and
67/8% Notes due 2031 to be issued pursuant to the Indenture: (i) in the Exchange Offer or (ii) as contemplated by Section 4 hereof. 

    Exchange Offer shall mean the exchange and issuance by the Company of a principal amount of Exchange Notes (which shall be registered
pursuant to the Exchange Offer Registration Statement) equal to the outstanding principal amount of Initial Notes that are tendered by Holders in connection with such exchange and issuance. 

    Exchange Offer Registration Statement shall mean the Registration Statement relating to the Exchange Offer, including the related
Prospectus. 

    Exempt Resales shall mean the transactions in which the Initial Purchasers propose to sell the Initial Notes to certain "qualified
institutional buyers," as such term is defined in Rule 144A under the Act. 

    Filing Date shall mean the date of the filing of the Exchange Offer Registration Statement or the Shelf Registration Statement, as the
case may be, with the Commission. 

    Filing Deadline shall have the meanings set forth in Sections 3(a) and 4(a) hereof. 

    Holders shall have the meaning set forth in Section 2 hereof. 

    Indemnified Person shall have the meaning set forth in Section 8(a) hereof. 

    Indenture shall mean the Indenture, dated as of November 6, 2001, among the Company and The Bank of New York, as trustee, as
supplemented on November 6, 2001, as the same may be amended from time to time. 

    Liabilities shall have the meaning set forth in Section 8(a) hereof. 

    Notes shall mean, collectively, the Initial Notes to be issued and sold to the Initial Purchasers, and securities issued in exchange
therefore or in lieu thereof pursuant to the Indenture. 

    Offering Memorandum shall have the meaning set forth in Section 8(a) hereof. 

    Prospectus shall mean the prospectus included in a Registration Statement at the time such Registration Statement is declared
effective, as amended or supplemented by any prospectus supplement and by all other amendments thereto, including post-effective amendments, and all material incorporated by reference into such
Prospectus. 

    Recommencement Date shall have the meaning set forth in Section 6(d) hereof. 

    Registration Default shall have the meaning set forth in Section 5 hereof. 

    Registration Statement shall mean any registration statement of the Company relating to (a) an offering of Exchange Notes
pursuant to an Exchange Offer or (b) the registration for resale of Transfer Restricted Securities pursuant to the Shelf Registration Statement, in each case, (i) that is filed pursuant
to the provisions of this Agreement and (ii) including the Prospectus included therein, all amendments and supplements thereto (including post-effective amendments) and all exhibits and
material incorporated by reference therein. 

    Rule 144 shall mean Rule 144 promulgated under the Act. 

    Shelf Registration Statement shall have the meaning set forth in Section 4 hereof. 

    Special Interest shall have the meaning set forth in Section 5 hereof. 

2

 

    Suspension Notice shall have the meaning set forth in Section 6(d) hereof. 

    TIA shall mean the Trust Indenture Act of 1939 (15 U.S.C. Section 77aaa-77bbbb) as in effect on the date of the Indenture. 

    Transfer Restricted Securities shall mean each Initial Note, until the earliest to occur of (a) the date on which such Initial
Note is exchanged in the Exchange Offer for an Exchange Note which is entitled to be resold to the public by the Holder thereof without complying with the prospectus delivery requirements of the Act,
(b) the date on which such Initial Note has been disposed of in accordance with a Shelf Registration Statement (and the purchasers thereof have been issued Exchange Notes), or (c) the
date on which such Initial Note may be resold to the public pursuant to Rule 144 (k) under the Act and each Exchange Note until the date on which such Exchange Note is disposed of by a
Broker-Dealer pursuant to the "Plan of Distribution" contemplated by the Exchange Offer Registration Statement (including the delivery of the Prospectus contained therein). 

SECTION 2.  HOLDERS  

    A Person is deemed to be a holder of Transfer Restricted Securities (each, a "Holder") whenever such Person
owns Transfer Restricted Securities. 

SECTION 3.  REGISTERED EXCHANGE OFFER  

    (a) Unless
the Exchange Offer shall not be permitted by applicable federal law (after the procedures set forth in Section 6(a)(i) below have been complied with),
the Company shall (i) cause the Exchange Offer Registration Statement to be filed with the Commission within 30 days after the Closing Date (such 30th day being the
"Filing Deadline" for purposes of this Section 3), (ii) use its commercially reasonable efforts to cause such Exchange Offer Registration
Statement to become effective at the earliest possible time, but in no event later than 180 days after the Filing Date (such 180th day being the "Effectiveness
Deadline" for purposes of this Section 3), (iii) in connection with the foregoing, (A) file all pre-effective amendments to such Exchange Offer Registration
Statement as may be necessary in order to cause it to become effective and (B) cause all necessary filings, if any, in connection with the registration and qualification of the Exchange Notes
to be made under the Blue Sky laws of such jurisdictions as are necessary to permit Consummation of the Exchange Offer, and (iv) upon the effectiveness of such Exchange Offer Registration
Statement, use its commercially reasonable efforts to commence and Consummate the Exchange Offer. The Exchange Offer shall be on the appropriate form permitting (i) registration of the Exchange
Notes to be offered in exchange for the Initial Notes that are Transfer Restricted Securities and (ii) resales of Exchange Notes by Broker-Dealers that tendered into the Exchange Offer Initial
Notes that such Broker-Dealer acquired for its own account as a result of market making activities or other trading activities (other than Initial Notes acquired directly from the Company or any of
its Affiliates) as contemplated by Section 3(c) below. 

    (b) The
Company shall use its commercially reasonable efforts to cause the Exchange Offer Registration Statement to be effective continuously, and shall keep the
Exchange Offer open for a period of not less than the minimum period required under applicable federal and state securities laws to Consummate the Exchange Offer; provided,
however, that in no event shall such period be less than 20 Business Days. The Company shall cause the Exchange Offer to comply with all applicable federal and state securities
laws. No securities other than the Exchange Notes shall be included in the Exchange Offer Registration Statement. The Company shall use its commercially reasonable efforts to cause the Exchange Offer
to be Consummated on the earliest practicable date after the Exchange Offer Registration Statement has become effective but in no event later than 30 Business Days thereafter (such 30th Business Day
being the "Consummation Deadline"). 

    (c) The
Company shall include a "Plan of Distribution" section in the Prospectus contained in the Exchange Offer Registration Statement and indicate therein that any
Broker-Dealer who holds Transfer 

3

 

Restricted Securities that were acquired for the account of such Broker-Dealer as a result of market-making activities or other trading activities (other than Initial Notes acquired directly from the
Company or any Affiliate of the Company), may exchange such Transfer Restricted Securities pursuant to the Exchange Offer. Such "Plan of Distribution" section shall also contain all other information
with respect to such sales by such Broker-Dealers that the Commission may require in order to permit such sales pursuant thereto, but such "Plan of Distribution" shall not name any such Broker-Dealer
or disclose the amount of Transfer Restricted Securities held by any such Broker-Dealer, except to the extent required by the Commission as a result of a change in policy, rules or regulations
after the date of this Agreement. 

    Because
such Broker-Dealer may be deemed to be an "underwriter" within the meaning of the Act and must, therefore, deliver a prospectus meeting the requirements of the Act in
connection with its initial sale of any Exchange Notes received by such Broker-Dealer in the Exchange Offer, the Company shall permit the use of the Prospectus contained in the Exchange Offer
Registration Statement by such Broker-Dealer to satisfy such prospectus delivery requirement. To the extent necessary to ensure that the Prospectus contained in the Exchange Offer Registration
Statement is available for sales of Exchange Notes by Broker-Dealers, the Company agrees to use its commercially reasonable efforts to keep the Exchange Offer Registration Statement continuously
effective, supplemented, amended and current as required by and subject to the provisions of Section 6(a) and (c) hereof and in conformity with the requirements of this Agreement, the
Act and the policies, rules and regulations of the Commission as announced from time to time, for a period of 180 days from the Consummation Deadline or such shorter period as will terminate
when all Transfer Restricted Securities covered by such Registration Statement have been sold pursuant thereto. The Company shall provide sufficient copies of the latest version of such Prospectus to
such Broker-Dealers, promptly upon request, and in no event later than one Business Day after such request, at any time during such period. 

SECTION 4.  SHELF REGISTRATION  

    (a)  Shelf Registration.  If (i) the Exchange Offer is not permitted by applicable law (after the
Company has complied with the procedures set forth in Section 6(a)(i) below) or (ii) for any reason the Exchange Offer is not Consummated by the Consummation Deadline or (iii) if
any Holder of Transfer Restricted Securities shall notify the Company within 20 Business Days following the Consummation of the Exchange Offer that (A) such Holder was prohibited by law or
Commission policy from participating in the Exchange Offer or (B) such Holder may not resell the Exchange Notes acquired by it in the Exchange Offer to the public without delivering a
prospectus and the Prospectus contained in the Exchange Offer Registration Statement is not appropriate or available for such resales by such Holder or (C) such Holder is a Broker-Dealer and
holds Initial Notes acquired directly from the Company or any of its Affiliates, then the Company shall: 

    (x) cause
to be filed, on or prior to 30 days after the earlier of (i) the date on which the Company determines that the Exchange Offer Registration Statement
cannot be filed as a result of clause (a)(i) above, (ii) the next Business Day following the Consummation Deadline, if the Exchange Offer is not Consummated by the Consummation Deadline
and (iii) the date on which the Company receives the notice specified in clause (a)(iii) above (such earlier date, the "Filing Deadline"
for purposes of this Section 4), a shelf registration statement pursuant to Rule 415 under the Act (which may be an amendment to the Exchange Offer Registration Statement (the
"Shelf Registration Statement")), relating to all Transfer Restricted Securities, and 

    (y) shall
use its commercially reasonable efforts to cause such Shelf Registration Statement to become effective on or prior to 90 days after the Filing Date (such 90th
day, the "Effectiveness Deadline" for purposes of this Section 4). 

4

 

    If,
after the Company has filed an Exchange Offer Registration Statement that satisfies the requirements of Section 3(a) above, the Company is required to file and make
effective a Shelf Registration Statement solely because the Exchange Offer is not permitted under applicable federal law (i.e., as contemplated by clause (a)(i) above), then the filing of the
Exchange Offer Registration Statement shall be deemed to satisfy the requirements of clause (x) above; provided that, in such event, the Company shall
remain obligated to meet the Effectiveness Deadline set forth in clause (y). 

    To
the extent necessary to ensure that the Shelf Registration Statement is available for sales of Transfer Restricted Securities by the Holders thereof entitled to the benefit of this
Section 4(a) and the other securities required to be registered therein pursuant to Section 6(b)(ii) hereof, the Company shall use its commercially reasonable efforts to keep any Shelf
Registration Statement required by this Section 4(a) continuously effective, supplemented, amended and current as required by and subject to the provisions of Sections 6(b) and (c)
hereof and in conformity with the requirements of this Agreement, the Act and the policies, rules and regulations of the Commission as announced from time to time, for a period of at least two
years (as extended pursuant to Section 6(c)(i)) following the Closing Date, or such shorter period as will terminate when all Transfer Restricted Securities covered by such Shelf Registration
Statement have been sold pursuant thereto. 

    (b)  Provision by Holders of Certain Information in Connection with the Shelf Registration Statement.  No
Holder of Transfer Restricted Securities may include any of its Transfer Restricted Securities in any Shelf Registration Statement pursuant to this Agreement unless and until such Holder furnishes to
the Company in writing, within 20 days after receipt of a request therefor, the information specified in Item 507 or 508 of Regulation S-K, as applicable, of the Act for use in connection with any
Shelf Registration Statement or Prospectus or preliminary Prospectus included therein and such other information as the Company may reasonably request. No Holder of Transfer Restricted Securities
shall be entitled to Special Interest pursuant to Section 5 hereof relating to a Shelf Registration Statement unless and until such Holder shall have provided all such information. Each selling Holder
agrees to
promptly furnish additional information required to be disclosed in order to make the information previously furnished to the Company by such Holder not materially misleading. 

SECTION 5.  SPECIAL INTEREST  

    If (i) any Registration Statement required by this Agreement is not filed with the Commission on or prior to the applicable Filing Deadline,
(ii) any such Registration Statement has not been declared effective by the Commission on or prior to the applicable Effectiveness Deadline, (iii) the Exchange Offer has not been
Consummated on or prior to the Consummation Deadline or (iv) any Registration Statement required by this Agreement is filed and declared effective but shall thereafter cease to be effective or
fail to be usable for its intended purpose without being succeeded by a post-effective amendment or a Prospectus supplement to such Registration Statement that cures such failure and that is itself
declared effective promptly (each such event referred to in clauses (i) through (iv), a "Registration Default"), then the Company hereby agrees
to pay to each Holder of Transfer Restricted Securities affected thereby, as liquidated damages for such Registration Default, special interest ("Special
Interest"), in addition to the Base Interest, which Special Interest shall accrue at a per annum rate of 0.25% for the first 90-day period immediately following the occurrence
of such Registration Default, at a per annum rate of 0.50% for the second 90-day period following the occurrence of such Registration Default, at a per annum rate of 0.75% for the third 90-day period
following the occurrence of such Registration Default and at a per annum rate of 1.0% thereafter for any remaining time period until all Registration Defaults have been cured;  provided that the Company
shall in no event be required to pay Special Interest for more than one Registration Default at any given time.
Notwithstanding anything to the contrary set forth herein, (1) upon filing of the Exchange Offer Registration Statement (and/or, if applicable, the Shelf Registration Statement), in the case of
(i) above, (2) upon the effectiveness of the Exchange Offer Registration Statement (and/or, if 

5

 

applicable, the Shelf Registration Statement), in the case of (ii) above, (3) upon Consummation of the Exchange Offer, in the case of (iii) above, or (4) upon the filing of
a post-effective amendment to the Registration Statement or an additional Registration Statement that causes the Exchange Offer Registration Statement (and/or, if applicable, the Shelf Registration
Statement) to again be declared effective or made usable in the case of (iv) above, the Special Interest payable with respect to the Transfer Restricted Securities as a result of such clause
(i), (ii), (iii) or (iv), as applicable, shall cease. 

    All
accrued Special Interest shall be paid to the Holders entitled thereto, in the manner provided for the payment of interest in the Indenture, on each Interest Payment Date, as more
fully set forth in the Indenture and the Notes. Notwithstanding the fact that any securities for which Special Interest is due cease to be Transfer Restricted Securities, all obligations of the
Company to pay Special Interest with respect to such securities shall survive until such time as such obligations with respect to such securities shall have been satisfied in full. 

SECTION 6.  REGISTRATION PROCEDURES  

    (a)  Exchange Offer Registration Statement.  In connection with the Exchange Offer, the Company shall (x)
comply with all applicable provisions of Section 6(c) below, (y) use its commercially reasonable efforts to effect such exchange and to permit the resale of Exchange Notes by Broker-Dealers
that tendered, in the Exchange Offer, Initial Notes that such Broker-Dealer acquired for its own account as a result of its market making activities or other trading activities (other than Initial
Notes acquired directly from the Company or any of its Affiliates) being sold in accordance with the intended method or methods of distribution thereof, and (z) comply with all of the following
provisions: 

     (i) If,
following the date hereof there has been announced a change in Commission policy with respect to exchange offers such as the Exchange Offer, that in the
reasonable opinion of counsel to the Company raises a substantial question as to whether the Exchange Offer is permitted by applicable federal law, the Company hereby agrees to seek a no-action letter
or other favorable decision from the Commission allowing the Company to Consummate an Exchange Offer for such Transfer Restricted Securities. In connection with the foregoing, the Company hereby
agrees, if commercially reasonable, to take all such other actions as may be requested by the Commission or otherwise required in connection with the issuance of such decision, including without
limitation (A) participating in telephonic conferences with the Commission, (B) delivering to the Commission staff an analysis prepared by counsel to the Company setting forth the legal
bases, if any, upon which such counsel has concluded that such an Exchange Offer should be permitted and (C) diligently pursuing a resolution (which need not be favorable) by the Commission
staff. 

    (ii) As
a condition to its participation in the Exchange Offer, each Holder of Transfer Restricted Securities (including, without limitation, any Holder who is a Broker
Dealer) shall furnish, upon the request of the Company, prior to the Consummation of the Exchange Offer, a written representation to the Company (which may be contained in the letter of transmittal
contemplated by the Exchange Offer Registration Statement) to the effect that (A) it is not an Affiliate of the Company, (B) it is not engaged in, and does not intend to engage in, and
has no arrangement or understanding with any person to participate in, a distribution of the Exchange Notes to be issued in the Exchange Offer and (C) it is acquiring the Exchange Notes in its
ordinary course of business. Each Holder using the Exchange Offer to participate in a distribution of the Exchange Notes hereby acknowledges and agrees that, if the resales are of Exchange Notes
obtained by such Holder in exchange for Initial Notes acquired directly from the Company or an Affiliate thereof, it (1) could not, under Commission policy as in effect on the date of this
Agreement, rely on the position of the Commission enunciated in Morgan Stanley and Co. Inc. (available June 5, 1991) and  Exxon Capital Holdings Corporation (available May 13, 1988), as interpreted in the Commission's letter to  Shearman & Sterling dated July 2, 1993, and similar no- 

6

 

action letters (including, if applicable, any no-action letter obtained pursuant to clause (i) above), and (2) must comply with the registration and prospectus delivery requirements of
the Act in connection
with a secondary resale transaction and that such a secondary resale transaction must be covered by an effective registration statement containing the selling security holder information required by
Item 507 or 508, as applicable, of Regulation S-K. 

    (iii) Prior
to effectiveness of the Exchange Offer Registration Statement, the Company shall provide a supplemental letter to the Commission (A) stating that the
Company is registering the Exchange Offer in reliance on the position of the Commission enunciated in Exxon Capital Holdings Corporation (available
May 13, 1988), Morgan Stanley and Co. Inc. (available June 5, 1991) as interpreted in the Commission's letter to  Shearman & Sterling
dated July 2, 1993, and, if applicable, any no-action letter obtained pursuant to clause (i) above,
(B) including a representation that the Company has not entered into any arrangement or understanding with any Person to distribute the Exchange Notes to be received in the Exchange Offer and
that, to the best of the Company's information and belief, each Holder participating in the Exchange Offer is acquiring the Exchange Notes in its ordinary course of business and has no arrangement or
understanding with any Person to participate in the distribution of the Exchange Notes received in the Exchange Offer and (C) any other undertaking or representation required by the Commission
as set forth in any no-action letter obtained pursuant to clause (i) above, if applicable. 

    (b)  Shelf Registration Statement.  In connection with the Shelf Registration Statement, if any, the
Company shall: 

     (i) (x)
comply with all the provisions of Section 6(c) below and (y) use its commercially reasonable efforts to effect such registration to permit the sale of
the Transfer Restricted Securities being sold in accordance with the intended method or methods of distribution thereof (as indicated in the information furnished to the Company pursuant to Section
4(b) hereof), and pursuant thereto the Company will prepare and file with the Commission a Registration Statement relating to the registration on any appropriate form under the Act, which form
shall be available for the sale of the Transfer Restricted Securities in accordance with the intended method or methods of distribution thereof within the time periods and otherwise in accordance with
the provisions hereof; and 

    (ii) issue,
subject to compliance with the applicable Indenture, upon the request of any Holder or purchaser of Initial Notes covered by any Shelf Registration
Statement contemplated by this Agreement, Exchange Notes having an aggregate principal amount equal to the aggregate principal amount of Initial Notes sold pursuant to the Shelf Registration Statement
and surrendered to the Company for cancellation; the Company shall register Exchange Notes on the Shelf Registration Statement for this purpose and issue the Exchange Notes to the purchaser(s) of
securities subject to the Shelf Registration Statement in the names as such purchaser(s) shall designate; provided, that the Holder shall pay any
transfer taxes or other fees charged in connection with such registration of Exchange Notes. 

    (c)  General Provisions.  In connection with any Registration Statement and any related Prospectus
required by this Agreement, the Company shall: 

     (i) use
its commercially reasonable efforts to keep such Registration Statement continuously effective and provide all requisite financial statements for the period
specified in Section 3 or 4 of this Agreement, as applicable. Upon the occurrence of any event that would cause any such Registration Statement or the Prospectus contained therein (A) to
contain an untrue statement of material fact or omit to state any material fact necessary to make the statements therein not misleading or (B) not to be effective and usable for resale of
Transfer Restricted Securities during the period required by this Agreement, the Company shall use its commercially reasonable efforts to file promptly an appropriate amendment or Prospectus
supplement to such Registration 

7

 

Statement curing such defect, and, if Commission review is required, use its commercially reasonable efforts to cause such amendment to be declared effective as soon as practicable; 

    (ii) use
its commercially reasonable efforts to prepare and file with the Commission such amendments and post-effective amendments to the applicable Registration
Statement as may be necessary to keep such Registration Statement effective for the applicable period set forth in Section 3 or 4 hereof, as the case may be; cause the Prospectus to be supplemented by
any required Prospectus supplement, and as so supplemented to be filed pursuant to Rule 424 under the Act, and to comply fully with Rules 424, 430A and 462, as applicable, under the Act
in a timely manner; and comply with the provisions of the Act in connection with the disposition of all securities covered by such Registration Statement during the applicable period in accordance
with the intended method or methods of distribution by the sellers thereof set forth in such Registration Statement or supplement to the Prospectus; 

    (iii) advise
each Holder promptly and, if requested by such Holder, confirm such advice in writing, (A) when the Prospectus or any Prospectus supplement or
post-effective amendment has been filed, and, with respect to any applicable Registration Statement or any post-effective amendment thereto, when the same has become effective, (B) of any
request by the Commission for amendments to the Registration Statement or amendments or supplements to the Prospectus or for additional information relating thereto, (C) of the issuance by the
Commission of any stop order suspending the effectiveness of the Registration Statement under the Act or of the suspension by any state securities commission of the qualification of the Transfer
Restricted Securities for offering or sale in any jurisdiction, or the initiation of any proceeding for any of the preceding purposes, (D) of the existence of any fact or the happening of any
event that makes any statement of a material fact made in the Registration Statement, the Prospectus, any amendment or supplement thereto or any document incorporated by reference therein untrue, or
that requires the making of any additions to or changes in the Registration Statement in order to make the statements therein not misleading, or that requires the making of any additions to or changes
in the Prospectus in order to make the statements therein, in the light of the circumstances under which they were made, not misleading. If at any time the Commission shall issue any stop order
suspending the effectiveness of the Registration Statement, or any state securities commission or other regulatory authority shall issue an order suspending the qualification or exemption from
qualification of the Transfer Restricted Securities under state securities or Blue Sky laws, the Company shall use its commercially reasonable efforts to obtain the withdrawal or lifting of such order
at the earliest possible time; 

    (iv) subject
to Section 6(c)(i), if any fact or event contemplated by Section 6(c)(iii)(D) above shall exist or have occurred, use commercially reasonable
efforts to prepare a supplement or post-effective amendment to the Registration Statement or related Prospectus or any document incorporated therein by reference or file any other required document so
that, as thereafter delivered to the purchasers of Transfer Restricted Securities, the Prospectus will not contain an untrue statement of a material fact or omit to state any material fact necessary
to make the statements therein, in the light of the circumstances under which they were made, not misleading; 

    (v) furnish
to each Holder in connection with such exchange or sale, if any, before filing with the Commission, copies of any Registration Statement or any Prospectus
included therein or any amendments or supplements to any such Registration Statement or Prospectus (including all documents incorporated by reference after the initial filing of such Registration
Statement), which documents will be subject to the review and comment of such Holders in connection with such sale, if any, for a period of at least five Business Days if practicable, or such shorter
time period as is practicable, and the Company will not file any such Registration Statement or Prospectus or any amendment or supplement to any such Registration Statement or Prospectus (including
all such documents incorporated by reference) to which such Holders shall reasonably object within five 

8

 

Business Days after the receipt thereof. A Holder shall be deemed to have reasonably objected to such filing only if such Registration Statement, amendment, Prospectus or supplement, as applicable, as
proposed to be filed, contains an untrue statement of a material fact or omits to state any material fact necessary to make the statements therein not misleading or fails to comply with the applicable
requirements of the Act; 

    (vi) make
available, at reasonable times, for inspection by one Holder designated by a majority of the Holders and any attorney or accountant retained by such Holders,
all financial and other records, pertinent corporate documents of the Company and cause the Company's officers, directors and employees to supply all information reasonably requested by any such
Holder, attorney or accountant in connection with such Registration Statement or any post-effective amendment thereto subsequent to the filing thereof and prior to its effectiveness; 

   (vii) if
requested by any Holders in connection with such exchange or sale, promptly include in any Registration Statement or Prospectus, pursuant to a supplement or
post-effective amendment if necessary, such information as such Holders may reasonably request to have included therein, including, without limitation, information relating to the "Plan of
Distribution" of the Transfer Restricted Securities; provided, that the Company shall not be required to participate in a distribution of any derivative
security by or on behalf of any Holder; and make all required filings of such Prospectus supplement or post-effective amendment as soon as practicable after the Company is notified of the matters to
be included in such Prospectus supplement or post-effective amendment; 

9

  

   (viii) deliver
to each Holder without charge, as many copies of the Prospectus (including each preliminary prospectus) and any amendment or supplement thereto as such
Persons reasonably may request; the Company hereby consents to the use (in accordance with law) of the Prospectus and any amendment or supplement thereto by each selling Holder in connection with the
offering and the sale of the Transfer Restricted Securities covered by the Prospectus or any amendment or supplement thereto; 

    (ix) upon
the request of any Holder, enter into such commercially reasonable agreements (including underwriting agreements) and make such customary representations and
warranties and take all such other commercially reasonable actions in connection therewith in order to expedite or facilitate the disposition of the Transfer Restricted Securities pursuant to any
applicable Registration Statement contemplated by this Agreement as may be reasonably requested by any Holder in connection with any sale or resale pursuant to any applicable Registration Statement.
In such connection, the Company shall: 

    (A) upon
request of any Holder or underwriter of a resale of Initial Notes or Exchange Notes, furnish (or in the case of paragraphs (2) and (3), use its commercially
reasonable efforts to cause to be furnished) to each such Holder or underwriter upon the effectiveness of the Shelf Registration Statement: 

    (1) a
certificate, dated such date, signed on behalf of the Company by (x) the President or any Vice President and (y) a principal financial or accounting officer of
the Company, confirming, as of the date thereof, the matters set forth in Sections 6(c), 6(e) and 6(f) of the Purchase Agreement and such other similar matters as such Holders may
reasonably request; 

    (2) an
opinion, dated the date of Consummation of the Exchange Offer or the date of effectiveness of the Shelf Registration Statement, as the case may be, of counsel
for the Company covering matters similar to those set forth in paragraph (a) of Section 6 of the Purchase Agreement and such other matters as such Holder may reasonably request, and in any
event including a statement to the effect that such counsel has participated in conferences with officers and other representatives of the Company, representatives of the independent public
accountants for the Company and have considered the matters required to be stated therein and the statements contained therein, although such counsel has not independently verified the exhibits to the
Registration Statement or the accuracy, completeness or fairness of such statements; and that such counsel advises that, on the basis of the foregoing, no facts came to such counsel's attention that
caused such counsel to believe that the applicable Registration Statement, at the time such Registration Statement or any post-effective amendment thereto became effective and, in the case of the
Exchange Offer Registration Statement, as of the date of Consummation of the Exchange Offer, contained an untrue statement of a material fact or omitted to state a material fact required to be stated
therein or necessary to make the statements therein not
misleading, or that the Prospectus contained in such Registration Statement as of its date and, in the case of the opinion dated the date of Consummation of the Exchange Offer, as of the date of
Consummation, contained an untrue statement of a material fact or omitted to state a material fact necessary in order to make the statements therein, in the light of the circumstances under which they
were made, not misleading. Without limiting the foregoing, such counsel may state further that such counsel assumes no responsibility for, and has not independently verified, the exhibits to the
Registration Statement or the accuracy, completeness or fairness of the financial statements, notes and schedules and other financial data included in any Registration Statement contemplated by this
Agreement or the related Prospectus; and 

    (3) a
customary comfort letter, dated the date of Consummation of the Exchange Offer, or as of the date of effectiveness of the Shelf Registration Statement, as the
case may be, 

10

 

from the Company's independent accountants, in the customary form and covering matters of the type customarily covered in comfort letters to underwriters in connection with underwritten offerings, and
affirming the matters set forth in the comfort letters delivered pursuant to Section 8(h) of the Purchase Agreement; and 

    (B) deliver
such other documents and certificates as may be reasonably requested by the selling Holders to evidence compliance with the matters covered in clause
(A) above and with any customary conditions contained in the any agreement entered into by the Company pursuant to this clause (ix); 

    (x) prior
to any public offering of Transfer Restricted Securities, cooperate with the selling Holders and their counsel in connection with the registration and
qualification of the Transfer Restricted Securities under the securities or Blue Sky laws of such jurisdictions as the selling Holders may request and do any and all other acts or things necessary or
advisable to enable the disposition in such jurisdictions of the Transfer Restricted Securities covered by the applicable Registration Statement; provided,
however, that the Company shall not be required to register or qualify as a foreign corporation where it is not now so qualified or to take any action that would subject it to
the service of process in suits or to taxation, other than as to matters and transactions relating to the Registration Statement, in any jurisdiction where it is not now so subject; 

    (xi) in
connection with any sale of Transfer Restricted Securities that will result in such securities no longer being Transfer Restricted Securities, cooperate with
the Holders to facilitate the timely preparation and delivery of certificates representing Transfer Restricted Securities to be sold and not bearing any restrictive legends; and to register such
Transfer Restricted Securities in such denominations and such names as the selling Holders may request at least two Business Days prior to such sale of Transfer Restricted Securities; 

   (xii) use
its commercially reasonable efforts to cause the disposition of the Transfer Restricted Securities covered by the Registration Statement to be registered with
or approved by such other governmental agencies or authorities as may be necessary to enable the seller or sellers thereof to consummate the disposition of such Transfer Restricted Securities, subject
to the proviso contained in clause (x) above; 

   (xiii) provide
a CUSIP number for all Transfer Restricted Securities not later than the effective date of a Registration Statement covering such Transfer Restricted
Securities and provide the Trustee under the Indenture with typed certificates for the Transfer Restricted Securities which are in a form eligible for deposit with a custodian for the Depository Trust
Company; 

   (xiv) otherwise
use its commercially reasonable efforts to comply with all applicable rules and regulations of the Commission, and make generally available to
its security holders with regard to any applicable Registration Statement, as soon as practicable, a consolidated earning statement meeting the requirements of Rule 158 (which need not be
audited) covering a twelve-month period beginning after the effective date of the Registration Statement (as such term is defined in paragraph (c) of Rule 158 under the Act); and 

   (xv) cause
the Indenture to be qualified under the TIA not later than the effective date of the first Registration Statement required by this Agreement and, in
connection therewith, cooperate with the Trustee and the Holders to effect such changes to the Indenture as may be required for such Indenture to be so qualified in accordance with the terms of the
TIA; and execute and use its commercially reasonable efforts to cause the Trustee to execute, all documents that may be required to effect such changes and all other forms and documents required to be
filed with the Commission to enable such Indenture to be so qualified in a timely manner. 

    (d)  Restrictions on Holders.  Each Holder agrees by acquisition of a Transfer Restricted Security that,
upon receipt of the notice referred to in Section 6(c)(iii)(C) or any notice from the Company of 

11

 

the existence of any fact of the kind described in Section 6(c)(iii)(D) hereof (in each case, a "Suspension Notice"), such Holder will forthwith
discontinue disposition of Transfer Restricted Securities pursuant to the applicable Registration Statement until (i) such Holder has received copies of the supplemented or amended Prospectus
contemplated by Section 6(c)(iv) hereof, or (ii) such Holder is advised in writing by the Company that the use of the Prospectus may be resumed, and has received copies of any additional
or supplemental filings that are incorporated by reference in the Prospectus (in each case, the "Recommencement Date"). Each Holder receiving a
Suspension Notice hereby agrees that it will either (i) destroy any Prospectuses, other than permanent file copies, then in such Holder's possession which have been replaced by the Company with
more recently dated Prospectuses or (ii) deliver to the Company (at the Company's expense) all copies, other than permanent file copies, then in such Holder's possession of the Prospectus
covering such Transfer Restricted Securities that was current at the time of receipt of the Suspension Notice. The time period regarding the effectiveness of such Registration Statement set forth in
Section 3 or 4 hereof, as applicable, shall be extended by a number
of days equal to the number of days in the period from and including the date of delivery of the Suspension Notice to the date of delivery of the Recommencement Date. 

SECTION 7.  REGISTRATION EXPENSES  

    (a) All
expenses incident to the Company's performance of or compliance with this Agreement will be borne by the Company, regardless of whether a Registration Statement
becomes effective, including without limitation: (i) all registration and filing fees and expenses; (ii) all fees and expenses of compliance with federal securities and state Blue Sky or
securities laws; (iii) all expenses of printing (including printing certificates for the Exchange Notes to be issued in the Exchange Offer and printing of Prospectuses), messenger and delivery
services and telephone; (iv) all reasonable fees and disbursements of counsel for the Company and the Holders of Transfer Restricted Securities; and (v) all fees and disbursements of
independent certified public accountants of the Company (including the expenses of any special audit and comfort letters required by or incident to such performance). 

    The
Company will, in any event, bear its internal expenses (including, without limitation, all salaries and expenses of its officers and employees performing legal or accounting
duties), the expenses of any annual audit and the fees and expenses of any Person, including special experts, retained by the Company. 

    (b) In
connection with any Shelf Registration Statement required by this Agreement, the Company will reimburse the Holders of Transfer Restricted Securities who are
selling or reselling Initial Notes or Exchange Notes pursuant to the "Plan of Distribution" contained in the Shelf Registration Statement for the reasonable fees and disbursements of not more than one
counsel, who shall be O'Melveny & Myers LLP, unless another firm shall be chosen by the Holders of a majority in principal amount of the Transfer Restricted Securities for whose benefit such
Shelf Registration Statement is being prepared. 

SECTION 8.  INDEMNIFICATION  

    (a) The
Company agrees to indemnify and hold harmless (i) each of the Holders and their respective affiliates, (ii) each person, if any, who controls
(within the meaning of Section 15 of the Act or Section 20 of the Exchange Act) any of the Holders or any of their respective affiliates (any of the persons referred to in this clause
(ii) being hereinafter referred to as a "Controlling Person"), and (iii) each of the respective officers, directors, partners, employees,
representatives and agents of any of the Holders or any Controlling Person, and each of their respective officers, directors, partners, employees, representatives and agents (any person referred to in
clause (i), (ii) or (iii) of this Section 8(a) may
hereinafter be referred to as an "Indemnified Person") to the fullest extent lawful, from and against any and all losses, claims, damages, judgments,
actions, costs, assessments, expenses and other liabilities (collectively, "Liabilities"), including without limitation and as incurred, reimbursement
of all 

12

 

reasonable costs of investigating, preparing, pursuing or defending any claim or action, or any investigation or proceeding by any foreign, Federal, state or local authority, regulatory body,
administrative agency, court or other governmental or quasi-governmental body, commenced or threatened, including the reasonable fees and expenses of counsel to any Indemnified Person, to the extent
such Liabilities are directly or indirectly caused by, related to, based upon or arising out of, or in connection with, any untrue statement or alleged untrue statement of a material fact contained in
any Registration Statement, preliminary prospectus or Prospectus (or any supplement or amendment thereto) provided by the Company to any Holder or prospective purchaser of Exchange Notes or registered
Initial Notes, or any omission or alleged omission to state therein a material fact required to be stated therein or necessary to make the statements therein not misleading, except insofar as such
Liabilities are caused by any such untrue statement or omission or alleged untrue statement or omission that is (x) with respect to a Holder, made in reliance upon and in conformity with information
relating to such Holder furnished in writing to the Company by or on behalf of such Holder expressly for use therein, or (y) with respect to the Holder from whom the person asserting the Liabilities
purchased Transfer Restricted Securities, made in any Preliminary Prospectus if a copy of the Prospectus (as amended or supplemented, if the Company shall have furnished the Holders with such
amendments or supplements thereto on a timely basis) was not delivered by or on behalf of such Holder to the person asserting the Liabilities, if required by law to have been so delivered by the
Holder seeking indemnification, at or prior to the written confirmation of the sale of the Transfer Restricted Securities, and it shall be determined by a court of competent jurisdiction or binding
mediation or arbitration tribunal, in a judgment or determination not subject to appeal or review, that the Prospectus (as so amended or supplemented) would have completely corrected such untrue
statement or omission in all material respects. The foregoing indemnity shall be in addition to any liability that the Company might otherwise have to any of the Holders and such other Indemnified
Persons. The Company shall notify you promptly after becoming aware of the institution, threat or assertion of any claim, proceeding (including any governmental investigation) or litigation in
connection with the matters addressed by this Agreement which involves the Company or an Indemnified Person. 

    (b) In
case any action or proceeding (for all purposes of this Section 8, including any governmental or quasi-governmental investigation) shall be brought or asserted
against any of the Indemnified Persons with respect to which indemnity under this Section 8 may be sought against the Company, such Indemnified Person promptly shall notify the Company in writing and
the Company shall assume the defense thereof, including the employment of counsel reasonably satisfactory to such Indemnified Person and payment of all reasonable fees and expenses; provided, that the
delay or failure to give such notice shall not relieve the Company from any liability that it may have on account of the indemnity under this Section 8, except to the extent that such delay or
omission materially adversely affects the ability of the Company to defend or assume the defense of such action or proceeding. Upon receiving such notice, the Company shall be entitled to participate
in any such action or proceeding and/or to assume, at its sole expense, the defense thereof, with counsel reasonably satisfactory to such Indemnified Person (who shall not, except with the consent of
the Indemnified Person to be represented, be counsel to the Company or any of the Subsidiaries) and, after written notice from the Company to such Indemnified Person of its election so to assume the
defense thereof promptly after receipt of the notice from the Indemnified Person of such action or proceeding, the Company shall not
be liable to such Indemnified Person hereunder for legal expenses of other counsel subsequently incurred by such Indemnified Person in connection with the defense thereof, other than reasonable costs
of investigation, unless (i) the Company agrees in writing to pay such fees and expenses, or (ii) the Company fails promptly to assume such defense or fails to employ counsel reasonably
satisfactory to such Indemnified Person, or (iii) the named parties to any such action or proceeding (including any impleaded parties) include both such Indemnified Person and the Company or an
affiliate of the Company, and that Indemnified Person shall have been advised in writing by counsel, with a copy of such writing to the Company, that either (x) there may be one or more legal 

13

 

defenses available to such Indemnified Person that are different from or additional to those available to the Company or such affiliate or (y) a conflict may exist between such Indemnified Person and
the Company or such affiliate. In the event of any of clause (i), (ii) and (iii) of the immediately preceding sentence, the Company shall not have the right to assume the defense thereof
on behalf of the Indemnified Person and such Indemnified Person shall have the right to employ its own counsel (who shall be reasonably acceptable to the Company and shall not, except with the
Company's consent, be counsel to the Company) in any such action and the reasonable fees and expenses of such counsel shall be paid, as incurred, by the Company, subject to repayment to the Company if
it is ultimately determined that an Indemnified Person is not entitled to indemnification hereunder, it being understood, however, that the Company shall not, in connection with any one such action or
proceeding or separate but substantially similar or related actions in the same jurisdiction arising out of the same general allegations or circumstances, be liable for the fees and expenses of more
than one separate firm of attorneys (in addition to any local counsel) for all of the Indemnified Persons, which firm shall be designated in writing by a majority of the Holders. The Company shall not
be liable for any settlement of any such action or proceeding effected without the Company's written consent, which consent may not be unreasonably withheld, but if settled with the written consent of
the Company, the Company agrees to indemnify and hold harmless any Indemnified Person from and against any loss or liability incurred in such settlement. The Company shall not, without the prior
written consent of each Indemnified Person, which consent shall not be unreasonably withheld, settle, compromise or consent to the entry of any judgment in or otherwise seek to terminate any pending
or threatened action, claim, suit, investigation or other proceeding in respect of which any Indemnified Person is or could have been a party and indemnification or contribution could have been sought
hereunder by such Indemnified Person, unless such settlement, compromise, consent or termination includes an unconditional release of each Indemnified Person from all liability on claims that are the
subject matter of such proceeding. 

    (c) Each
of the Holders agrees, severally and not jointly, to indemnify and hold harmless the Company, its directors, its officers, and any person controlling (within
the meaning of Section 15 of the Act or Section 20 of the Exchange Act) the Company, to the same extent as the foregoing indemnity from the Company to each of the Indemnified Persons, but only with
respect to claims and actions based on information relating to such Holder furnished in writing by or on behalf of such Holder expressly for use in any Registration Statement. In case any action shall
be brought against the Company, any of its directors, any such officer, or any such controlling person in respect of which indemnity is sought against any Holder pursuant to the foregoing sentence,
the Holder shall have the rights and duties given to the Company (except that if a Holder shall have assumed the defense thereof, the Company shall not be required to do so, but may employ separate
counsel therein and participate in the defense thereof, but the fees and expenses of such counsel shall be at the expense of the Company), and the Company, its directors, any such officers, and each
such controlling person shall have the rights and
duties given to the Indemnified Person by Section 7(b) above. In no event shall any Holder, its directors, officers or any Person who controls such Holder be liable or responsible for any
amount in excess of the amount by which the total amount received by such Holder with respect to its sale of Transfer Restricted Securities pursuant to a Registration Statement exceeds (i) the
amount paid by such Holder for such Transfer Restricted Securities and (ii) the amount of any damages that such Holder, its directors, officers or any Person who controls such Holder has
otherwise been required to pay by reason of such untrue or alleged untrue statement or omission or alleged omission. 

    (d) If
the indemnification provided for in this Section 8 is finally determined by a court of competent jurisdiction to be unavailable to an Indemnified Person in
respect of any Liabilities referred to herein, then the Company, in lieu of indemnifying such Indemnified Person, shall contribute to the amount paid or payable by such Indemnified Person as a result
of such Liabilities: (i) in such proportion as is appropriate to reflect the relative benefits received by the Company on the one hand and the Indemnified Person on the other hand from the sale
of the Transfer Restricted Securities, or 

14

 

(ii) if the allocation provided by clause (i) above is not permitted by applicable law, in such proportion as is appropriate to reflect not only the relative benefits referred to in
clause (i), above, but also the relative fault of the Company and the Indemnified Person in connection with the actions, statements or omissions that resulted in such Liabilities, as well as any other
relevant equitable considerations. The relative fault of the Company and the Holder shall be determined by reference to, among other things, whether the untrue or alleged untrue statement of a
material fact or the omission or alleged omission to state a material fact related to information supplied by the Company or the Holder and the parties' relative intent, knowledge, access to
information and opportunity to correct or prevent such statement or omission. The indemnity and contribution obligations of the Company set forth herein shall be in addition to any liability or
obligation the Company may otherwise have to any Indemnified Person. 

    The
Company and the Holders agree that it would not be just and equitable if contribution pursuant to this Section 8(d) were determined by pro rata allocation (even if the
Holders were treated as one entity for such purpose) or by any other method of allocation that does not take account of the equitable considerations referred to in the immediately preceding paragraph.
The amount paid or payable by an Indemnified Party as a result of the Liabilities referred to in the immediately preceding paragraph shall be deemed to include, subject to the limitations set forth
above, any reasonable legal or other expenses reasonably incurred by such Indemnified Party in connection with investigating or defending any such action or claim. Notwithstanding the provisions of
this Section 8, none of the Holders (or any of their related Indemnified Persons referred to in Section 8 above) shall be required to contribute, in the aggregate, any amount in excess of the amount
by which the total received by such Holder with respect to the sale of Transfer Restricted Securities pursuant to a Registration Statement exceeds (i) the amount paid by such Holder for such
Transfer Restricted Securities and (ii) the amount of any damages or liabilities which such Holder (and its related Indemnified Persons referred to in Section 8 above) has otherwise been
required to pay or incur by reason of such untrue or alleged untrue statement or omission or alleged omission or other indemnified action or proceeding. Notwithstanding anything to the contrary
contained herein, no person guilty of fraudulent misrepresentation (within the meaning of Section 11(f) of the Act) shall be entitled to contribution from any person who was not guilty of such
fraudulent misrepresentation. The Holders' obligations to contribute pursuant to this Section 8(d) are
several in proportion to the respective aggregate principal amount of Transfer Restricted Securities held by each of the Holders hereunder and not joint. 

SECTION 9.  RULE 144A AND RULE 144  

    The Company agrees with each Holder, for so long as any Transfer Restricted Securities remain outstanding and during any period in which the Company
(i) is not subject to Section 13 or 15(d) of the Exchange Act, to make available, upon request of any Holder, to such Holder or beneficial owner of Transfer Restricted Securities in
connection with any sale thereof and any prospective purchaser of such Transfer Restricted Securities designated by such Holder or beneficial owner, the information required by
Rule 144A(d)(4) under the Act in order to permit resales of such Transfer Restricted Securities pursuant to Rule 144A, and (ii) is subject to Section 13 or 15(d) of
the Exchange Act, to use its commercially reasonable efforts to make all filings required thereby in a timely manner in order to permit resales of such Transfer Restricted Securities pursuant to
Rule 144. 

SECTION 10.  MISCELLANEOUS  

    (a)  No Inconsistent Agreements.  The Company will not, on or after the date of this Agreement, enter
into any agreement with respect to its securities that is inconsistent with the rights granted to the Holders in this Agreement or otherwise conflicts with the provisions hereof. The rights granted to
the Holders hereunder do not in any way conflict with and are not inconsistent with the rights granted to the holders of the Company's securities under any agreement in effect on the date hereof. 

15

 

    (b)  Amendments and Waivers.  The provisions of this Agreement may not be amended, modified or
supplemented, and waivers or consents to or departures from the provisions hereof may not be given unless (i) in the case of Section 5 hereof and this Section 10(b)(i), the Company has obtained
the written consent of Holders of all outstanding Transfer Restricted Securities and (ii) in the case of all other provisions hereof, the Company has obtained the written consent of Holders of
a majority of the outstanding principal amount of Transfer Restricted Securities (excluding Transfer Restricted Securities held by the Company or its Affiliates). Notwithstanding the foregoing, a
waiver or consent to departure from the provisions hereof that relates exclusively to the rights of Holders whose Transfer Restricted Securities are being tendered pursuant to the Exchange Offer, and
that does not affect directly or indirectly the rights of other Holders whose Transfer Restricted Securities are not being tendered pursuant to such Exchange Offer, may be given by the Holders of a
majority of the outstanding principal amount of Transfer Restricted Securities subject to such Exchange Offer. 

    (c)  Third Party Beneficiary.  The Holders shall be third party beneficiaries to the agreements made
hereunder between the Company, on the one hand, and the Initial Purchasers, on the other hand, and shall have the right to enforce such agreements directly to the extent they may deem such enforcement
necessary or advisable to protect its rights or the rights of Holders hereunder. 

    (d)  Notices.  All notices and other communications provided for or permitted hereunder shall be made in
writing by hand-delivery, first-class mail (registered or certified, return receipt requested), telex, telecopier, or air courier guaranteeing overnight delivery: 

     (i) if
to a Holder, at the address set forth on the records of the Registrar under the Indenture, with a copy to the Registrar under the Indenture; and 

    (ii) if
to the Company: 

Tenet
Healthcare Corporation

3820 State Street

Santa Barbara, California 93105

Telecopier No.: (805) 563-7070

Attention: General Counsel 

With
a copy to: 

Sullivan &
Cromwell

1888 Century Park East, Suite 2100

Los Angeles, California 90067

Telecopier No.: (310) 712-8800

Attention: Steven B. Stokdyk 

    All
such notices and communications shall be deemed to have been duly given: at the time delivered by hand, if personally delivered; five Business Days after being deposited in the
mail, postage prepaid, if mailed; when receipt acknowledged, if telecopied; and on the next Business Day, if timely delivered to an air courier guaranteeing overnight delivery. 

    Copies
of all such notices, demands or other communications shall be concurrently delivered by the Person giving the same to the Trustee at the address specified in the Indenture. 

    (e)  Successors and Assigns.  This Agreement shall inure to the benefit of and be binding upon the
successors and assigns of each of the parties, including without limitation and without the need for an express assignment, subsequent Holders; provided, that nothing herein shall be deemed to permit
any assignment, transfer or other disposition of Transfer Restricted Securities in violation of the terms hereof or of the Purchase Agreement or the Indenture. If any transferee of any Holder shall
acquire Transfer Restricted Securities in any manner, whether by operation of law or otherwise, such Transfer Restricted Securities shall be held subject to all of the terms of this Agreement, and by
taking and 

16

 

holding such Transfer Restricted Securities such Person shall be conclusively deemed to have agreed to be bound by and to perform all of the terms and provisions of this Agreement, including the
restrictions on resale set forth in this Agreement and, if applicable, the Purchase Agreement, and such Person shall be entitled to receive the benefits hereof. 

    (f)  Counterparts.  This Agreement may be executed in any number of counterparts and by the parties
hereto in separate counterparts, each of which when so executed shall be deemed to be an original and all of which taken together shall constitute one and the same agreement. 

    (g)  Headings.  The headings in this Agreement are for convenience of reference only and shall not limit
or otherwise affect the meaning hereof. 

    (h)  Governing Law.  THIS AGREEMENT SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE
STATE OF NEW YORK, WITHOUT REGARD TO THE CONFLICT OF LAW RULES THEREOF. 

    (i)  Severability.  In the event that any one or more of the provisions contained herein, or the
application thereof in any circumstance, is held invalid, illegal or unenforceable, the validity, legality and enforceability of any such provision in every other respect and of the remaining
provisions contained herein shall not be affected or impaired thereby. 

    (j)  Entire Agreement.  This Agreement is intended by the parties as a final expression of their
agreement and intended to be a complete and exclusive statement of the agreement and understanding of the parties hereto in respect of the subject matter contained herein. There are no restrictions,
promises, warranties or undertakings, other than those set forth or referred to herein with respect to the registration rights granted with respect to the Transfer Restricted Securities. This
Agreement
supersedes all prior agreements and understandings between the parties with respect to such subject matter. 

17

    IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above. 

	 	 	TENET HEALTHCARE CORPORATION
	

 	
 	

BY	
 	

/S/ STEPHEN D. FARBER

	 	 	 	 	NAME: STEPHEN D. FARBER

TITLE: SENIOR VICE PRESIDENT AND TREASURER

	CREDIT SUISSE FIRST BOSTON

CORPORATION	 	 
	SALOMON SMITH BARNEY INC.	 	 
	J.P. MORGAN SECURITIES INC.	 	 
	BY:	 	SALOMON SMITH BARNEY INC.	 	 
	BY	 	/S/ RICHARD LANDGARTEN
	 	 
	 	 	NAME: RICHARD LANDGARTEN

TITLE: DIRECTOR	 	 
	 	 	For themselves and the other several Initial Purchasers named in Schedule I to the Purchase Agreement.	 	 

 
 
 

EXHIBIT A    
  

NOTICE OF FILING OF

EXCHANGE OFFER REGISTRATION STATEMENT  

	To:	 	Credit Suisse Fist Boston Corporation

Salomon Smith Barney Inc.

J.P. Morgan Securities Inc.

c/o Salomon Smith Barney Inc.

388 Greenwich Street

New York, New York 10013

Attention:

Fax:
	

From:	
 	

Tenet Healthcare Corporation

53/8% Senior Notes due 2006, 63/8% Senior Notes due 2011 and 67/8% Senior Notes due 2031
	

Date:	
 	

                  , 20    

    For
your information only (NO ACTION REQUIRED): 

    Today,
                  , 20    , [we filed an Exchange Registration Statement/a Shelf Registration
Statement] with the Securities and Exchange Commission. We currently expect this registration statement to be declared effective within       business days of the date
hereof. 

2

QuickLinks

Exhibit 4.5

EXCHANGE AND REGISTRATION RIGHTS AGREEMENT

EXHIBIT A

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