| 07/21/2021 |
| 06:49:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERMAN, SUSIE, UNDEFINED | BG-14622 | R | 29.00 | 4815********5236 | 122671 | 07/21/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |