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

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

TYPE: Purchase

ACCT: Visa                  $ 137.28 USD

CARDHOLDER NAME : Justin Fitins
CARD NUMBER     : ############1625
DATE/TIME       : 16 Jul 21 10:16:38
REFERENCE #     : 003 0816033 M
AUTHOR. #       : 09151D
TRANS. REF.     : GV-1626444997

    Approved - Thank You 100


Please retain this copy for your records.

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