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Fill and Sign the Services Agreement to Initiate a New Projectmatter Form

Fill and Sign the Services Agreement to Initiate a New Projectmatter Form

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NOTICE OF TRANSFER PURSUANT TO REGISTRATION STATEMENT Bausch & Lomb Incorporated One Bausch & Lomb Place Rochester, New York 14604 Attention: General Counsel Citibank, N.A. 111 Wall Street 15th Floor, New York, New York 10005 Attention: Corporate Trust Operations – Fax (212) 657-1020 /3710 /0261 Re: Bausch & Lomb Incorporated (the “Company”) Senior Convertible Floating Rates Notes due 2023 (the “Notes”) Dear Sirs: Please be advised that _____________________ has transferred $____________ aggregate principal amount of the Notes, or shares of the Company’s common stock issued upon conversion of the Notes, pursuant to an effective Registration Statement on Form S-3 (File No. 333-110094) filed by the Company. We hereby certify that the prospectus delivery requirements, if any, of the Securities Act of 1933, as amended, have been satisfied with respect to the transfer described above and that the above-named beneficial owner of the Notes or common stock is named as a selling securityholder in the Prospectus dated January 8, 2004 or in amendments or supplements thereto, and that the aggregate principal amount of the Notes or number of shares of common stock transferred are a portion of the Notes or shares of common stock listed in such Prospectus as amended or supplemented opposite such owner's name. Dated: Very truly yours, ________________________ (Name) (Medallion Guarantee) By: ________________________ (Authorized Signature) DTC Participant Number: _________

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