========== TRANSACTION RECORD ==========
GERMED LTD

NEW HYDE PARK, NY
United States
WWW.GERVETUSA.COM

TYPE: Purchase

ACCT: Mastercard            $ 109.44 USD

CARDHOLDER NAME : Rachel E Hakel
CARD NUMBER     : ############2179
DATE/TIME       : 30 Jul 20 17:12:03
REFERENCE #     : 003 0549499 M
AUTHOR. #       : 41639P
TRANS. REF.     : GM-1596143522

    Approved - Thank You 100


Please retain this copy for your records.

Cardholder will pay above amount to
card issuer pursuant to cardholder
agreement.
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