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

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

TYPE: Purchase

ACCT: Visa                   $ 90.46 USD

CARDHOLDER NAME : Zachary C Bauer
CARD NUMBER     : ############0258
DATE/TIME       : 01 Jul 21 02:28:37
REFERENCE #     : 003 0580429 M
AUTHOR. #       : 000249
TRANS. REF.     : GV-1625120917

    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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