| 12/16/2021 |
| 07:13:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DARII, VIOREL, UNDEFINED | KN-G26047 | R | 70.00 | 6011********6692 | 01621R | 12/16/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 70.00 |
| 0 | Other | 0.00 |
| 70.00 |