| 05/05/2021 |
| 06:43:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIVERA, BRIAN, UNDEFINED | EF-12803 | R | 50.00 | 6011********0183 | 00503R | 05/05/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 50.00 |
| 0 | Other | 0.00 |
| 50.00 |