| 11/10/2021 |
| 06:57:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BUTLER, JERROD, UNDEFINED | T6-14369 | R | 44.95 | 5178********1747 | 09634B | 11/10/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 44.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.95 |