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

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

TYPE: Purchase

ACCT: American Express      $ 415.87 USD

CARDHOLDER NAME : John P Murfree DDS
CARD NUMBER     : ###########4013
DATE/TIME       : 03 Dec 20 10:47:32
REFERENCE #     : 003 0772034 M
AUTHOR. #       : 100801
TRANS. REF.     : GD-1607010452

    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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