| 09/22/2021 |
| 07:47:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SOUTHARD, REAGA, UNDEFINED | 1F-10019 | R | 94.68 | 4003********2299 | 807568 | 09/22/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 94.68 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 94.68 |