| 08/04/2021 |
| 06:54:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COX, LORIA, UNDEFINED | 9V-521020503 | R | 52.00 | 4020********2165 | 849944 | 08/04/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 52.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |