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

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

TYPE: Purchase

ACCT: Visa                  $ 375.83 USD

CARDHOLDER NAME : Teionna Graye
CARD NUMBER     : ############9502
DATE/TIME       : 23 Sep 20 16:53:18
REFERENCE #     : 003 0391709 M
AUTHOR. #       : 068668
TRANS. REF.     : GV-1600894396

    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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