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

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

TYPE: Purchase

ACCT: American Express      $ 116.79 USD

CARDHOLDER NAME : Outlaw Equine
CARD NUMBER     : ###########1202
DATE/TIME       : 08 Jan 21 14:20:10
REFERENCE #     : 003 0642747 M
AUTHOR. #       : 165834
TRANS. REF.     : GV-1610133610

    Approved - Thank You 100


Please retain this copy for your records.

Cardholder will pay above amount to
card issuer pursuant to cardholder
agreement.
========================================