| 04/21/2021 |
| 06:40:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| URSCHEL, LOTTIE, UNDEFINED | 68-1877 | R | 106.60 | 6011********3401 | 02162P | 04/21/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 106.60 |
| 0 | Other | 0.00 |
| 106.60 |