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

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

TYPE: Purchase

ACCT: American Express       $ 47.86 USD

CARDHOLDER NAME : GEOVANY NOVOA C
CARD NUMBER     : ###########7017
DATE/TIME       : 17 Dec 20 16:28:35
REFERENCE #     : 003 0880977 M
AUTHOR. #       : 900000
TRANS. REF.     : GV-1608240515

    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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