| 05/19/2021 |
| 07:18:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SORENSEN, HARLE, UNDEFINED | KG-5871 | R | 54.00 | 4342********3334 | 081666 | 05/19/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |