| 10/20/2021 |
| 07:22:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LORTON, SAMUAL, UNDEFINED | 21-10119 | R | 78.45 | 5178********3902 | 00524B | 10/20/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 78.45 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 78.45 |