| 08/18/2021 |
| 06:59:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| Gray, Jacob, UNDEFINED | 1E-39515549 | R | 30.90 | 5403********2164 | 039244 | 08/18/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 30.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.90 |