Premier Ambulatory Surgery of Duncanville, Inc. – Indentures – BamSEC

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from S-4 5 pages Amendment to Registration Rights Agreement

from S-4 3 pages First Supplemental Indenture

from S-4 26 pages Registration Rights Agreement Dated as of June 3, 2007 Among Symbion, Inc., the Guarantors Listed on Schedule a Hereto and Merrill Lynch, Pierce, Fenner & Smith Incorporated, Banc of America Securities LLC and Greenwich Capital Markets, Inc. Registration Rights Agreement

from S-4 134 pages Symbion, Inc. and Each of the Guarantors Party Hereto 11.00%/11.75% Senior Pik Toggle Notes Due 2015 Indenture Dated as of June 3, 2008 U.S. Bank National Association Trustee