| 01/14/2021 |
| 10:41:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LJEPAVA, RANDI, UNDEFINED | T8-N9TP144012 | R | 19.99 | 5178********1999 | 02800B | 01/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |