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Exhibit 4.3
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POA INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
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UNITED ROAD SERVICES, INC.
PAR VALUE $.001 EACH
SERIES A PARTICIPATING CONVERTIBLE PREFERRED STOCK
See Reverse for
Certain Definitions
This is to Certify that ________________________________________ is the owner of
________________________________________________________________________________
FULLY PAID AND NON-ASSESSABLE SHARES OF SERIES A PARTICIPATING CONVERTIBLE
PREFERRED STOCK OF
UNITED ROAD SERVICES, INC.
transferable on the books of the Corporation by the holder hereof in person or
by duly authorized Attorney upon surrender of this Certificate properly
endorsed.
Witness, the seal of the Corporation and the signature of its duly authorized
officers.
Dated
________________________________ ______________________________
SECRETARY PRESIDENT
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Exhibit 4.3
The following abbreviations, when used in the inscription on the face of
this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations:
TEN COM - as tenants in common
TEN ENT - as tenants by the entireties
JT TEN - as joint tenants with right of survivorship and not
as tenants in common
UNIF GIFT MIN ACT - ___________________ Custodian ___________________
(Cust) (Minor)
under Uniform Gifts to Minors Act _______________
(State)
For value received _______________ hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE)
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------------------------------------------------------------------------- Shares
Represented by the within Certificate, and do hereby irrevocably constitute and
appoint
______________________________________________________ Attorney to transfer the
said Shares on the books of the within named Corporation with full power of
substitution in the premises.
Dated ______________________ _______
In presence of
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NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS
WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION
OR ENLARGEMENT OR ANY CHANGE WHATEVER.
