| 05/12/2021 |
| 06:49:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VAN LOON, BLAKE, UNDEFINED | 21-15668 | R | 99.80 | 4388********6849 | 655380 | 05/12/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.80 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.80 |