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

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

TYPE: Purchase

ACCT: Visa                $ 1,134.26 USD

CARDHOLDER NAME : Andrea Wall
CARD NUMBER     : ############1565
DATE/TIME       : 10 Dec 20 10:57:35
REFERENCE #     : 003 0912798 M
AUTHOR. #       : 013889
TRANS. REF.     : GV-1607615855

    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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