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

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

TYPE: Purchase

ACCT: Mastercard            $ 314.26 USD

CARDHOLDER NAME : an tran
CARD NUMBER     : ############4790
DATE/TIME       : 17 May 21 13:34:44
REFERENCE #     : 003 0006875 M
AUTHOR. #       : 28232E
TRANS. REF.     : GD-1621272884

    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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