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

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

TYPE: Purchase

ACCT: Mastercard             $ 83.43 USD

CARDHOLDER NAME : Kimberly Lebsock
CARD NUMBER     : ############8915
DATE/TIME       : 26 Apr 21 16:28:49
REFERENCE #     : 003 0731022 M
AUTHOR. #       : 009560
TRANS. REF.     : GV-1619468928

    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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