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

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

TYPE: Purchase

ACCT: American Express      $ 328.38 USD

CARDHOLDER NAME : Samantha Oates
CARD NUMBER     : ###########1084
DATE/TIME       : 01 Oct 20 10:41:02
REFERENCE #     : 003 0153801 M
AUTHOR. #       : 180927
TRANS. REF.     : GV-1601563262

    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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