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

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

TYPE: Purchase

ACCT: Discover              $ 316.08 USD

CARDHOLDER NAME : Robert H Long
CARD NUMBER     : ############9076
DATE/TIME       : 13 Jan 21 22:21:23
REFERENCE #     : 003 0132494 M
AUTHOR. #       : 01384R
TRANS. REF.     : GD-1610594483

    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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