| 05/19/2021 |
| 07:18:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DENNIS, RANDY, UNDEFINED | H8-12187 | R | 25.00 | 4643********1729 | 675789 | 05/19/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |