| 09/29/2021 |
| 07:08:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMITH, MICHEAL, UNDEFINED | T6-14101 | R | 44.95 | 4351********5565 | 092324 | 09/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 44.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.95 |