| 10/13/2021 |
| 07:27:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DESROSIERS, DIA, UNDEFINED | 6Z-1262 | R | 38.00 | 5465********4479 | 063733 | 10/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 38.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.00 |