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

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

TYPE: Purchase

ACCT: American Express       $ 75.24 USD

CARDHOLDER NAME : Rebecca A DRiggers
CARD NUMBER     : ###########1895
DATE/TIME       : 02 Jul 20 10:33:33
REFERENCE #     : 003 0512936 M
AUTHOR. #       : 729990
TRANS. REF.     : GM-1593700413

    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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