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

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

TYPE: Purchase

ACCT: American Express      $ 192.10 USD

CARDHOLDER NAME : VIRGINIA AYTES
CARD NUMBER     : ###########6000
DATE/TIME       : 04 Aug 20 16:13:53
REFERENCE #     : 003 0625011 M
AUTHOR. #       : 156950
TRANS. REF.     : GV-1596572032

    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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