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

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

TYPE: Purchase

ACCT: Visa                   $ 46.29 USD

CARDHOLDER NAME : BEACHER M TILLMAN
CARD NUMBER     : ############0156
DATE/TIME       : 06 Jul 20 20:29:38
REFERENCE #     : 003 0626643 M
AUTHOR. #       : 909190
TRANS. REF.     : GM-1594081776

    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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