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

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

TYPE: Purchase

ACCT: Visa                   $ 68.70 USD

CARDHOLDER NAME : Robert M Hilton
CARD NUMBER     : ############4559
DATE/TIME       : 16 Apr 21 21:36:08
REFERENCE #     : 003 0112509 M
AUTHOR. #       : 103067
TRANS. REF.     : GV-1618623368

    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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