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

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

TYPE: Purchase

ACCT: Visa                  $ 140.75 USD

CARDHOLDER NAME : Jacob Freilich
CARD NUMBER     : ############3075
DATE/TIME       : 26 Apr 21 15:04:35
REFERENCE #     : 003 0620559 M
AUTHOR. #       : 03063G
TRANS. REF.     : GV-1619463874

    Approved - Thank You 100


Please retain this copy for your records.

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