| 05/19/2021 |
| 07:18:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHURCHILL, GERA, UNDEFINED | BW-83038 | R | 84.00 | 4143********5344 | 390154 | 05/19/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |