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

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

TYPE: Purchase

ACCT: Visa                  $ 112.74 USD

CARDHOLDER NAME : Sirenia Paola cuadras
CARD NUMBER     : ############0154
DATE/TIME       : 03 Jun 20 01:15:33
REFERENCE #     : 003 0196385 M
AUTHOR. #       : 055021
TRANS. REF.     : GM-1591161334

    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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