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

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

TYPE: Purchase

ACCT: Visa                  $ 279.41 USD

CARDHOLDER NAME : Alexander J Plevris
CARD NUMBER     : ############8579
DATE/TIME       : 09 Mar 21 15:36:13
REFERENCE #     : 003 0808511 M
AUTHOR. #       : 04608D
TRANS. REF.     : GD-1615322173

    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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