FORM OF CONVERSION NOTICES
Published on November 10, 2021
EXHIBIT 10.23
CONVERSION NOTICE
The undersigned irrevocably exercises the option to convert U.S $_________________ principal amount of the 10.0% Convertible Promissory Note (the “Note”) of Midwest Energy Emissions Corp. (the “Company”) registered in the name of the undersigned into common stock, par value $.001 per share, of the Company in accordance with the terms of the Note and directs that the securities issuable upon conversion be issued and delivered to the undersigned.
Dated: ________________ |
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| Print Name of Holder |
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| Signature and title (if applicable) |
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