| 09/22/2021 |
| 07:47:45 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SELF, ANDREW, UNDEFINED | UF-107268 | R | 34.00 | 4737********1191 | 074608 | 09/22/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |