| 09/29/2021 |
| 07:08:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WADE, DONALD, UNDEFINED | LG-38413 | R | 181.36 | 4191********9956 | 074938 | 09/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 181.36 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 181.36 |