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

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

TYPE: Purchase

ACCT: Visa                  $ 182.03 USD

CARDHOLDER NAME : George J Maraczi
CARD NUMBER     : ############3726
DATE/TIME       : 20 May 21 18:07:07
REFERENCE #     : 003 0871308 M
AUTHOR. #       : 006409
TRANS. REF.     : GV-1621548427

    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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