| 10/09/2019 |
| 06:55:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOMERLIN, MONIQ, | LS-110121 | R | 21.71 | 5178********2521 | 07103Z | 10/09/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.71 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.71 |