| 12/29/2021 |
| 08:14:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LISI, DAWN, UNDEFINED | 8S-4002845 | R | 57.92 | 5175********2821 | 029531 | 12/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 57.92 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 57.92 |