| 04/12/2021 |
| 09:28:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SHACKLEFORD, SY | SA-96000 | 2 | 210.00 | 6011********3985 | 01289P | 04/12/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 210.00 |
| 0 | Other | 0.00 |
| 210.00 |