| 07/28/2021 |
| 06:54:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FOURNIER, JODI, UNDEFINED | MC-10500 | R | 60.00 | 5145********4995 | 456663 | 07/28/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 60.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.00 |