| 09/03/2025 |
| 07:33:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMON, DERRICK, UNDEFINED | LC-103196 | R | 50.62 | 4019********4074 | 225630 | 09/03/2025 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.62 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.62 |