| 05/12/2021 |
| 06:49:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BRADSHER, TERRE, UNDEFINED | BX-2087 | R | 15.00 | 4661********6602 | 027608 | 05/12/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.00 |