| 06/23/2021 |
| 06:58:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOLINA, ADAM, UNDEFINED | V8-110395 | R | 41.46 | 4081********7137 | 840390 | 06/23/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 41.46 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.46 |