| 09/16/2021 |
| 07:32:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILL, FREDRIC, UNDEFINED | 2T-100370 | R | 29.00 | 4601********5441 | 070562 | 09/16/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |