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

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

TYPE: Purchase

ACCT: Visa                  $ 102.55 USD

CARDHOLDER NAME : Jennifer Allen
CARD NUMBER     : ############2510
DATE/TIME       : 30 Nov 20 14:06:44
REFERENCE #     : 003 0235358 M
AUTHOR. #       : 006395
TRANS. REF.     : GV-1606763203

    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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