| 01/05/2022 |
| 07:19:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WASHBURN, JAKE, UNDEFINED | T6-13663 | R | 175.00 | 6011********9869 | 877952 | 01/05/2022 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 175.00 |
| 0 | Other | 0.00 |
| 175.00 |