| 10/05/2021 |
| 06:12:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOELLER, ANDREA | G5-220433 | 1 | 75.00 | 4271********0841 | 130145 | 10/05/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 75.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.00 |