#=lim_(h->0)((x+h)^2 + 9(x+h) - 3 -( x^2 + 9x - 3))/h#
#=lim_(h->0)(x^2+2xh + h^2 + 9x+ 9h - 3 - x^2 - 9x + 3)/h#
#=lim_(h->0)(cancel(x^2)+2xh + h^2 + cancel(9x)+ 9h - cancel(3) - cancel(x^2) - cancel(9x) + cancel(3))/h#
#=lim_(h->0)(2xh + h^2 + 9h)/h#
#=lim_(h->0)(h(2x + h + 9))/h#
#=lim_(h->0)(cancel(h)(2x + h + 9))/cancel(h)#
#=lim_(h->0)2x + 0 + 9#
= 2x + 9