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

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

TYPE: Purchase

ACCT: American Express       $ 53.50 USD

CARDHOLDER NAME : Brian Mattsson
CARD NUMBER     : ###########1026
DATE/TIME       : 23 Jun 20 10:54:49
REFERENCE #     : 003 0178397 M
AUTHOR. #       : 121331
TRANS. REF.     : GM-1592924088

    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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