| 01/12/2023 |
| 07:02:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PUCKETTE, NANCY, UNDEFINED | PM-15875 | R | 52.00 | 4586********9810 | H69419 | 01/12/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 52.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 52.00 |