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

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

TYPE: Purchase

ACCT: Mastercard             $ 76.84 USD

CARDHOLDER NAME : Laura L Richardson
CARD NUMBER     : ############7583
DATE/TIME       : 19 Dec 20 07:53:36
REFERENCE #     : 003 0881699 M
AUTHOR. #       : 97700P
TRANS. REF.     : GV-1608382416

    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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