| 12/08/2021 |
| 07:41:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOODWIN, LORI, UNDEFINED | GK-6135 | R | 54.00 | 5155********4925 | 07809B | 12/08/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 54.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |