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

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

TYPE: Purchase

ACCT: Visa                  $ 136.58 USD

CARDHOLDER NAME : Kelly Wagoner
CARD NUMBER     : ############4662
DATE/TIME       : 19 Nov 20 11:06:08
REFERENCE #     : 003 0282889 M
AUTHOR. #       : 023103
TRANS. REF.     : GV-1605801968

    Approved - Thank You 100


Please retain this copy for your records.

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