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

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

TYPE: Purchase

ACCT: Visa                  $ 180.13 USD

CARDHOLDER NAME : General Surgery
CARD NUMBER     : ############7083
DATE/TIME       : 06 Apr 21 16:18:43
REFERENCE #     : 003 0674626 M
AUTHOR. #       : 099534
TRANS. REF.     : GV-1617740323

    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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