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

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

TYPE: Purchase

ACCT: Visa                   $ 70.27 USD

CARDHOLDER NAME : Herbert Krueger
CARD NUMBER     : ############3368
DATE/TIME       : 13 Dec 20 18:06:44
REFERENCE #     : 003 0086178 M
AUTHOR. #       : 09348I
TRANS. REF.     : GV-1607900804

    Approved - Thank You 100


Please retain this copy for your records.

Cardholder will pay above amount to
card issuer pursuant to cardholder
agreement.
========================================