| 10/13/2021 |
| 07:27:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CONRAD, DANIEL, UNDEFINED | NV-9904144 | R | 37.45 | 4430********9538 | 114221 | 10/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 37.45 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 37.45 |