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

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

TYPE: Purchase

ACCT: American Express      $ 136.18 USD

CARDHOLDER NAME : Margaret Graeber
CARD NUMBER     : ###########4009
DATE/TIME       : 09 Jun 21 09:04:48
REFERENCE #     : 003 0210665 M
AUTHOR. #       : 198635
TRANS. REF.     : GV-1623243888

    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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