| 10/20/2021 |
| 07:22:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DICKENS, TRAVIS, UNDEFINED | H8-12218 | R | 25.00 | 4264********9997 | 064627 | 10/20/2021 |
| 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 |