| 11/10/2021 |
| 06:57:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TRISTAN, GIBO, UNDEFINED | 1T-PD9990 | R | 81.19 | 5424********7950 | 73369B | 11/10/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 81.19 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 81.19 |