| 10/27/2021 |
| 07:46:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CROWTHER, SHELL, UNDEFINED | LC-52684 | R | 23.99 | 4011********2972 | 860688 | 10/27/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 23.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 23.99 |