| 09/02/2021 |
| 07:04:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HATFIELD, PATRI, UNDEFINED | 21-3160 | R | 62.40 | 3751*******4842 | 616381 | 09/02/2021 |
| Count | Card Type | Total |
| 1 | American Express | 62.40 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 62.40 |