| 10/13/2021 |
| 07:27:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUSH, DEVON, UNDEFINED | M2-101455 | R | 35.00 | 5575********1108 | 017376 | 10/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |