| 05/19/2021 |
| 07:18:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STONE, RACIEUL, UNDEFINED | UF-110760 | R | 29.00 | 4833********8964 | 010808 | 05/19/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |