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

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

TYPE: Purchase

ACCT: Visa                   $ 86.74 USD

CARDHOLDER NAME : Sierra trance
CARD NUMBER     : ############9362
DATE/TIME       : 18 Oct 20 11:47:43
REFERENCE #     : 003 0978027 M
AUTHOR. #       : S60726
TRANS. REF.     : GV-1603036062

    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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