| 09/16/2021 |
| 07:32:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ADAMS, KELLI, UNDEFINED | GK-5672 | R | 90.00 | 4154********1599 | 144678 | 09/16/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 90.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 90.00 |