| 12/07/2021 |
| 05:20:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| UNDEFINED, UNDEFINED | MD-W74962 | 2 | 120.00 | 5275********1002 | 111364 | 12/07/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 120.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |