| 12/01/2021 |
| 08:38:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| Brown, Regina | MD-W388641 | 1 | 80.00 | 4036********9356 | 074370 | 12/01/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 80.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.00 |