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

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

TYPE: Purchase

ACCT: Mastercard             $ 41.59 USD

CARDHOLDER NAME : Mark E Batorski
CARD NUMBER     : ############1068
DATE/TIME       : 28 May 20 19:03:17
REFERENCE #     : 003 0815992 M
AUTHOR. #       : 161520
TRANS. REF.     : GM-1590706998

    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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