| 10/06/2021 |
| 07:07:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BEAURGARD, RHON, UNDEFINED | BX-2877 | R | 15.00 | 4020********7707 | 367659 | 10/06/2021 |
| 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 |