| 12/11/2019 |
| 06:22:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TRIPLETT, BRAND, | UF-107827 | R | 34.00 | 5100********6146 | 023517 | 12/11/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |