| 12/08/2021 |
| 07:41:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOUCHET, KEELI, UNDEFINED | E6-11612 | R | 114.82 | 4055********0646 | 392548 | 12/08/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 114.82 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 114.82 |