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

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

TYPE: Purchase

ACCT: Visa                   $ 50.08 USD

CARDHOLDER NAME : Susie Leavelle
CARD NUMBER     : ############5686
DATE/TIME       : 29 May 21 11:58:08
REFERENCE #     : 003 0437910 M
AUTHOR. #       : 029772
TRANS. REF.     : GV-1622303887

    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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