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

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

TYPE: Purchase

ACCT: American Express       $ 50.73 USD

CARDHOLDER NAME : Troy Raburn
CARD NUMBER     : ###########8035
DATE/TIME       : 15 Jun 21 10:15:05
REFERENCE #     : 003 0333880 M
AUTHOR. #       : 135198
TRANS. REF.     : GV-1623766504

    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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