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

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

TYPE: Purchase

ACCT: Visa                  $ 311.04 USD

CARDHOLDER NAME : Devere Herron
CARD NUMBER     : ############9036
DATE/TIME       : 10 Jan 21 20:54:34
REFERENCE #     : 003 0730284 M
AUTHOR. #       : 045420
TRANS. REF.     : GD-1610330073

    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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