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

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

TYPE: Purchase

ACCT: Discover               $ 15.40 USD

CARDHOLDER NAME : Penny J. Hieb
CARD NUMBER     : ############1839
DATE/TIME       : 08 Jul 20 12:15:56
REFERENCE #     : 003 0687078 M
AUTHOR. #       : 00843B
TRANS. REF.     : GM-1594224955

    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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