| 04/07/2021 |
| 06:48:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TATE, KATHAN L, UNDEFINED | 4Y-57533 | R | 23.00 | 4403********8706 | 857014 | 04/07/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 23.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 23.00 |