| 04/28/2021 |
| 07:19:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BROWN, MARTIN, UNDEFINED | T3-C17161 | R | 34.95 | 5424********6784 | 82509P | 04/28/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.95 |