========= GENERAL INFORMATION =========
Merchant : GERMEDUSA INC (2362778)
Date/Time : 13-May-2025 8:10:06 PDT

========= ORDER INFORMATION =========
Invoice : GM 4360
Description : Surgical Instrument
Amount : 456.50 (USD)
Payment Method: Visa xxxx7861
Transaction Type: Authorization and Capture

============== Line Items ==============

============== RESULTS ==============
Response : This transaction has been approved.
Auth Code : 083049
Transaction ID : 121029546169
Address Verification : Street Address: No Match -- First 5 Digits of Zip: Match

==== CUSTOMER BILLING INFORMATION ===
Customer ID : 
First Name : Ariana
Last Name : Chee
Company : Gallup Indian Medical Center
Address : PO Box 1337
City : Gallup
State/Province : New Mexico
Zip/Postal Code : 87305
Country : United States
Phone : 5057267087
Fax : 
E-Mail : Ariana.Chee@IHS.gov