| 11/17/2021 |
| 07:44:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DEJOUNGE, EVAN, UNDEFINED | LS-113191 | R | 38.54 | 5444********4096 | 965556 | 11/17/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 38.54 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.54 |