| 10/28/2020 |
| 06:02:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KOLOMEJAC, JELE, | SN-6182B | R | 39.99 | 4147********9501 | 08027C | 10/28/2020 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |