| 11/17/2021 |
| 07:44:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROLDAN, BRETT, UNDEFINED | 90-007750 | R | 32.01 | 5513********8709 | BF2XH5 | 11/17/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 32.01 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.01 |