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

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

TYPE: Purchase

ACCT: Mastercard            $ 107.63 USD

CARDHOLDER NAME : Taylor Wilson
CARD NUMBER     : ############9306
DATE/TIME       : 07 Jun 21 21:49:23
REFERENCE #     : 003 0582741 M
AUTHOR. #       : 17223Z
TRANS. REF.     : GV-1623116962

    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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