| 11/17/2021 |
| 07:44:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BARTON, JAKE, UNDEFINED | XN-G000022 | R | 40.00 | 5175********0517 | 017270 | 11/17/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |