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

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

TYPE: Purchase

ACCT: Visa                  $ 476.81 USD

CARDHOLDER NAME : Trent T. Gall
CARD NUMBER     : ############2848
DATE/TIME       : 30 Mar 21 18:25:24
REFERENCE #     : 003 0174559 M
AUTHOR. #       : 05741G
TRANS. REF.     : GV-1617143123

    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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