| 06/12/2019 |
| 08:43:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FLORENCE, QUIAN, UNDEFINED | 79-RXNA135642 | R | 21.99 | 4266********6675 | 06327C | 06/12/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |