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

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

TYPE: Purchase

ACCT: Mastercard            $ 528.78 USD

CARDHOLDER NAME : Fernando Asmar
CARD NUMBER     : ############7795
DATE/TIME       : 17 Apr 21 15:50:52
REFERENCE #     : 003 0521574 M
AUTHOR. #       : T09542
TRANS. REF.     : GV-1618689052

    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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