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

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

TYPE: Purchase

ACCT: Visa                  $ 111.04 USD

CARDHOLDER NAME : Ashley Coleman
CARD NUMBER     : ############9465
DATE/TIME       : 24 Nov 20 10:18:23
REFERENCE #     : 003 0485804 M
AUTHOR. #       : 046040
TRANS. REF.     : GV-1606231103

    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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