| 07/21/2021 |
| 06:49:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NOVELO, TABITHA, UNDEFINED | T4-5623389587 | R | 69.99 | 4833********4987 | 063907 | 07/21/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.99 |