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

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

TYPE: Purchase

ACCT: Visa                   $ 30.77 USD

CARDHOLDER NAME : Ronald D. Broderson
CARD NUMBER     : ############0341
DATE/TIME       : 07 Jun 20 12:16:12
REFERENCE #     : 003 0387277 M
AUTHOR. #       : 08418C
TRANS. REF.     : GM-1591546572

    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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