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

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

TYPE: Purchase

ACCT: American Express    $ 1,093.35 USD

CARDHOLDER NAME : Michael Morykwas
CARD NUMBER     : ###########7009
DATE/TIME       : 26 May 21 13:02:46
REFERENCE #     : 003 0801125 M
AUTHOR. #       : 104622
TRANS. REF.     : GV-1622048566

    Approved - Thank You 100


Please retain this copy for your records.

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