| 09/29/2021 |
| 07:08:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HEPBURN, MITCHE, UNDEFINED | BD-24239 | R | 36.00 | 4839********0672 | 01031C | 09/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 36.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.00 |