| 08/04/2021 |
| 06:54:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DERIVOLKOV, PET, UNDEFINED | KN-G25040 | R | 42.50 | 6011********3983 | 00430R | 08/04/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 42.50 |
| 0 | Other | 0.00 |
| 42.50 |