| 12/16/2020 |
| 07:00:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COULTRIP, ROBER, UNDEFINED | XN-W102403 | R | 173.25 | 5121********6446 | 01672B | 12/16/2020 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 173.25 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 173.25 |