| 05/12/2021 |
| 06:49:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEREZ, NATHAN, UNDEFINED | 68-WEB806625 | R | 106.60 | 5172********2848 | 038881 | 05/12/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 106.60 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 106.60 |