| 12/02/2021 |
| 07:52:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WASHINGTON, DEN, UNDEFINED | 5A-12307 | R | 127.75 | 4347********3638 | 000808 | 12/02/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 127.75 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 127.75 |