| 06/02/2021 |
| 07:35:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMENTAL, EDGAR, UNDEFINED | EF-12215 | R | 50.00 | 4833********4140 | 000908 | 06/02/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |