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

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

TYPE: Purchase

ACCT: Mastercard             $ 31.96 USD

CARDHOLDER NAME : Patricia Buckert
CARD NUMBER     : ############6076
DATE/TIME       : 17 Jun 20 08:35:10
REFERENCE #     : 003 0541649 M
AUTHOR. #       : 055922
TRANS. REF.     : GM-1592397310

    Approved - Thank You 100


Please retain this copy for your records.

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