| 09/29/2021 |
| 07:08:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MICHAUD, JOE, UNDEFINED | BW-84517 | R | 135.00 | 5413********3729 | 797642 | 09/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 135.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 135.00 |