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

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

TYPE: Purchase

ACCT: Visa                  $ 618.34 USD

CARDHOLDER NAME : Anisha nguyen
CARD NUMBER     : ############6711
DATE/TIME       : 22 Jan 21 01:23:53
REFERENCE #     : 003 0539906 M
AUTHOR. #       : 00626B
TRANS. REF.     : GD-1611296633

    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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