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

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

TYPE: Purchase

ACCT: Mastercard            $ 153.78 USD

CARDHOLDER NAME : Juan Sobrado
CARD NUMBER     : ############8249
DATE/TIME       : 16 Jun 21 14:10:29
REFERENCE #     : 003 0046502 M
AUTHOR. #       : 546503
TRANS. REF.     : GV-1623867028

    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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