| 04/28/2021 |
| 07:19:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WILLIAMS, MOUND, UNDEFINED | SA-A115406 | R | 49.99 | 5170********6124 | 070939 | 04/28/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 49.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.99 |