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

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

TYPE: Purchase

ACCT: Visa                   $ 44.09 USD

CARDHOLDER NAME : Tracey Fannin
CARD NUMBER     : ############7215
DATE/TIME       : 14 Apr 21 12:01:11
REFERENCE #     : 003 0270669 M
AUTHOR. #       : 014396
TRANS. REF.     : GV-1618416071

    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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