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

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

TYPE: Purchase

ACCT: Visa                  $ 211.06 USD

CARDHOLDER NAME : Hoang Nguyen
CARD NUMBER     : ############2376
DATE/TIME       : 30 Nov 20 18:35:37
REFERENCE #     : 003 0782133 M
AUTHOR. #       : 061331
TRANS. REF.     : GD-1606779336

    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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