| 11/10/2021 |
| 06:57:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DANIELS, FELISH, UNDEFINED | 9V-10454 | R | 40.00 | 4327********0513 | 420012 | 11/10/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 40.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |