| 10/27/2021 |
| 07:46:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COOPER, LARRY, UNDEFINED | 9V-10350 | R | 13.00 | 4020********9056 | 863873 | 10/27/2021 |
| SIMMONS, NEDRA, UNDEFINED | 9V-10311 | R | 43.00 | 4327********3838 | 864159 | 10/27/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 56.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 56.00 |