| 07/21/2021 |
| 06:38:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KOPACZ, MACIEJ, | S7-SSRC1921 | R | 410.08 | 5424********5926 | 89825P | 07/21/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 410.08 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 410.08 |