| 01/19/2022 |
| 07:17:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HILLERGREN, VIC, UNDEFINED | ST-12738 | R | 205.56 | 4266********9675 | 01129B | 01/19/2022 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 205.56 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 205.56 |