| 05/12/2021 |
| 06:49:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JONES, CASEY, UNDEFINED | 94-FF4981 | R | 29.00 | 3793*******1001 | 126129 | 05/12/2021 |
| Count | Card Type | Total |
| 1 | American Express | 29.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |