| 10/13/2021 |
| 07:27:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DESTEFANS, JORD, UNDEFINED | FA-FDWW215243 | R | 29.99 | 4586********5182 | H67731 | 10/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |