| 06/30/2021 |
| 07:06:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRANDJEAN, ERIC, UNDEFINED | D9-16723 | R | 34.00 | 4000********5925 | 786601 | 06/30/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |