| 10/13/2021 |
| 07:27:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACKSON, JORDAN, UNDEFINED | 90-007332 | R | 140.62 | 5143********3061 | 2VKPS6 | 10/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 140.62 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 140.62 |