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

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

TYPE: Purchase

ACCT: Visa                   $ 88.44 USD

CARDHOLDER NAME : Carla Douple
CARD NUMBER     : ############8734
DATE/TIME       : 13 May 21 15:17:15
REFERENCE #     : 003 0468238 M
AUTHOR. #       : 01492G
TRANS. REF.     : GD-1620933435

    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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