| 12/13/2023 |
| 06:29:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BASS, PAULETTE, UNDEFINED | 9S-2108 | R | 65.00 | 4147********5268 | 06183D | 12/13/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 65.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 65.00 |