Document:

SECURED PROMISSORY NOTE

     The  undersigned  corporations, namely, Americare Health Scan, Inc. and its
subsidiary  Americare Biologicals, Inc. (hereinafter referred to as "Borrower"),
whose  address  is  20  NW  181st  Street, Miami, Florida 33169, promises to pay
AMERICARE  SERVICES, INC., (hereinafter  Americare) whose address is 20 NW 181st
Street,  Miami, Florida 33169, the principal sum of Two Hundred Thousand Dollars
($200,000.00).  That  said  funds  are  due  and  owing  to Americare for monies
advanced to Borrower and for Americare's willingness to advance additional funds
and  Borrower's willingness and need to continue to receive additional funds and
consideration  of  said  funding  by  Americare  to Borrower and forebearance on
initiating  collection  or  demand on the previously advanced funds to Borrower,
Borrower  hereby agrees to execute this blanket promissory note and additionally
agrees  to  execute  a  security  agreement collateralizing Borrower's assets as
specifically  set  forth  in the Security Agreement and /or financing statement.
Further,  Borrower  authorizes  Americare to execute the financing statement and
take  a  real  estate  mortgage  on  property  of  Borrower  at Americare's sole
discretion.  That  this  instrument  is  given  by  Borrower without relief from
Valuation,  Stay or Appraisement Laws and along with attorneys fees and costs of
collection  in  the  case  of  default.

     This  Note  shall  bear interest at two (2%) percent over the prime rate of
interest as set from time to time by Chase Manhattan Bank of  New York, however,
in no event shall the rate of interest be less than eight (8%) percent per annum
compounded  monthly,  nor  more  than  eighteen  (18%)  percent.

     This  Note  shall  become  fully due and payable on demand, but in no event
earlier  than sixty (60) days from the execution hereof, unless there shall be a
default  under  any  of  the  terms  and conditions of this Note and correlative
Security  Agreement  or  Financing  Statement.

     Upon  default  in  the  payment  of any installment or other payment herein
required when the same shall become due, or in the event the holder deems itself
insecure,  the  entire  unpaid balance and other indebtedness on account of this
obligation and mortgage, term loan agreement and security agreement securing the
same  shall,  at  the  option  of the holder, become due and payable immediately
without notice of non-payment or demand for payment, and the entire indebtedness
may  be collected by appropriate proceedings, together with interest at the rate
of  two (2%) percent in excess of the rate hereinabove stated, computed from the
time  of  default  on  each  delinquent installment until paid, or on the entire
unpaid  principal balance at the option of the holder, if maturity of the entire
indebtedness  is accelerated. No failure on the part of the holder in exercising
said  option  to  declare  the  whole  of said indebtedness due or to proceed to
collect the same shall operate as a waiver of the right to do so or preclude the
exercise  of  such  option at any time during the continuance of such default or
the  occurrence  of  a  succeeding  default.  Advance payment may be made in any
amount,  and  interest  on such advance payments shall not be charged beyond the
next  succeeding  interest  period.

<PAGE>
     The holder may renew the same or extend time of payment of the indebtedness
or  any  part  thereof  or  reduce  the  payments thereon; and any such renewal,
extension  or  reduction shall not release any maker, endorser or guarantor from
any  liability  on  said  obligation.  This  note  is  subject  to the terms and
conditions  of a certain contract and Security Agreement (of even date herewith)
entered  into  by and between the promissor and the payee, said agreements being
incorporated herein by reference, with the same force and effect as though fully
set  forth  herein.

     The drawers, sureties, guarantors and endorsers severally waive presentment
for  payment,  protest,  notice  of  protest  and  non-payment of this note. The
receipt  of  interest  in  advance or the extension of time shall not release or
discharge  any  surety,  guarantor  or  endorser  on  this  note.

                                           Americare  Health  Scan,  Inc.

                                           By: /s/ Joseph P. D'Angelo
                                              ------------------------------
                                                                   President

                                           Attest: /s/ Margaret  Heichberger
                                                  --------------------------
                                                                   Secretary

                                           Americare  Biologicals,  Inc.

                                           By: /s/ Joseph P. D'Angelo
                                              ------------------------------
                                                                   President

                                           Attest: /s/ Margaret  Heichberger
                                                  --------------------------
                                                                   Secretary

Duly Executed this 11th day of May, 2000.

<PAGE>Docket  No.: T    38

                                   ASSIGNMENT
                                   ----------

Whereas  Americare  Biologicals,  Inc.,  a  Florida  company  located  and doing
business  at  Miami, Florida, has adopted and used in its business the following
trademark  filed  in  the  United  States  Patent  and  Trademark  Office:

                Serial  No.          Mark                  Filed
                ------------------------------------------------
                75/106,456          ANA-SAL         May 20, 1996

and whereas Americare Health Scan, Inc. and Americare International Diagnostics,
Inc.,  Florida  corporations  located  and doing business at Miami, Florida, are
desirous  of  acquiring  said  mark:

NOW,  THEREFORE, in consideration of a duly executed contract between said three
corporations  and other good and valuable consideration, the receipt of which is
hereby  acknowledged,  said  Americare  Biologicals,  Inc.,  does  sell, assign,
transfer,  and  set  over  unto  said  Americare Health Scan, Inc. and Americare
International  Diagnostics,  Inc.,  the entire right, title, and interest in, to
and  under  said  trademark  application  and  that  part of the goodwill of the
business  connected  with  the  use  of  and  symbolized  by  the  mark.

                                  By:  /s/  Joseph  P.  D'Angelo
                                     ---------------------------------
                                     Joseph  P.  D'Angelo

Date:  16  June  97
     -----------------

<PAGE>Docket  No.:

                                   ASSIGNMENT

WHEREAS  International Medical Associates, Inc., of Miami, Florida, is the owner
of  the  entire  right, title and interest in and to the following United States
Letters  Patent:

     Patent  No:                                Patent  Date
     -----------                                ------------
     5,405,614                                  April  11,  1995

and  the  inventions  therein  described;

AND  WHEREAS,  Americare  Technologies,  Inc.,  doing  business at 20 N.W. 181st
Street,  Miami,  Florida  33169, is desirous of acquiring the entire interest in
said  invention,  and  in  said  United  States  Letters  Patent;

NOW  THEREFORE,  be it known that for and in consideration of a contract between
International  Medical  Associates,  Inc.  and Americare Technologies, Inc., and
other  valuable  consideration,  the  receipt and sufficiency whereof are hereby
acknowledged;  International  Medical  Associates,  Inc.  has sold, assigned and
transferred, and by these presence does sell, assign and transfer unto Americare
Technologies,  Inc., its legal representatives~ successors and assigns, the full
and  exclusive  rights to the said invention as fully set forth and described in
the  above-mentioned  Letters  Patent  of  the  United  States,  and any and all
reissues  of  said  Letters Patent, the same to be held and enjoyed by Americare
Technologies,  Inc.,  its  legal representatives, successors and assigns, to the
full  end  of  the term for which said Letters Patent has been granted or may be
reissued  or  extended,  as  fully and entirely the same would have been held by
International  Medical  Associates,  Inc.  had this Assignment and sale not been
made.

IN  TESTIMONY  WHEREOF,  we have hereunto set our hands and seals this 23 day of
June,  1997.

                                         INTERNATIONAL  MEDICAL ASSOCIATES, INC.

                                         By:  /s/  Joseph  P.  D'Angelo     (LS)
                                            --------------------------------
                                         Name:   Dr. Joseph  P.  D'Angelo
                                         Title:  President

<PAGE>ASSIGNMENT

WHEREAS  International Medical Associates, Inc., of Miami, Florida. is the owner
of  the  entire  right, title and interest in and to the following United States
Letters  Patent:

Patent  No:          Patent  Date
-----------          ------------
5,505,957            April 9, 1996

and  the  inventions  therein  described;

AND  WHEREAS,  Americare  Technologies,  Inc.,  doing  business at 20 N.W. 181st
Street,  Miami,  Florida  33169, is desirous of acquiring the entire interest in
said  invention,  and  in  said  United  States  Letters  Patent;

NOW  THEREFORE,  be it known that for and in consideration of a contract between
International  Medical  Associates,  Inc.  and  Americare Technologies, Inc, and
other  valuable  consideration,  the  receipt and sufficiency whereof are hereby
acknowledged;  International  Medical  Associates,  Inc.  has sold, assigned and
transferred, and by these presence does sell, assign and transfer unto Americare
Technologies,  Inc., its legal representatives, successors and assigns, the full
and  exclusive  rights to the said invention as fully set forth and described in
the  above-mentioned  Letters  Patent  of  the  United  States,  and any and all
reissues  of  said  Letters Patent, the same to be held and enjoyed by Americare
Technologies,  Inc.,  its  legal representatives, successors and assigns, to the
full  end  of  the term for which said Letters Patent has been granted or may be
reissued  or  extended,  as  fully and entirely the same would have been held by
International  Medical  Associates,  Inc.  had this Assignment and sale not been
made.

IN  TESTIMONY  WHEREOF,  we have hereunto set our hands and seals this 23 day of
June,  1997.

                                          INTERNATIONAL MEDICAL ASSOCIATES, INC.

                                          By:  /s/  Joseph  P.  D'Angelo  (LS)
                                          ------------------------------------
                                          Name:   Joseph  P.  D'Angelo
                                          Title:  President

<PAGE>

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