| 08/31/2022 |
| 06:48:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAVIK, MARY, UNDEFINED | PD-11450 | R | 25.00 | 4100********1109 | 83219C | 08/31/2022 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |