| 09/22/2021 |
| 07:47:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HOLT, SUSAN, UNDEFINED | D9-13032A | R | 68.00 | 4100********6837 | 57339D | 09/22/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 68.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.00 |