| 07/21/2021 |
| 06:49:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MORTENSON, SUSA, UNDEFINED | ET-MORTENSONS | R | 40.00 | 5145********3084 | 489467 | 07/21/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |