| 12/22/2021 |
| 07:51:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEVINI, TOM, UNDEFINED | PM-15765 | R | 94.00 | 4306********8742 | 050644 | 12/22/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 94.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 94.00 |