| 01/12/2022 |
| 06:52:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOFORTH, SHELLY, | P1-11764 | R | 48.00 | 4064********8296 | 054021 | 01/12/2022 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 48.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 48.00 |