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

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

TYPE: Purchase

ACCT: American Express      $ 201.69 USD

CARDHOLDER NAME : Susan Holibaugh DPM
CARD NUMBER     : ###########7006
DATE/TIME       : 22 Jun 20 17:52:47
REFERENCE #     : 003 0292039 M
AUTHOR. #       : 122706
TRANS. REF.     : GM-1592862767

    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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