| 12/16/2021 |
| 07:13:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ERVIN, ANNA, UNDEFINED | 2T-101487 | R | 39.00 | 4451********5265 | 721137 | 12/16/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |