| 04/12/2023 |
| 07:08:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POLK, CHARMON, UNDEFINED | T4-3235951601 | R | 69.99 | 4092********0205 | 996369 | 04/12/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 69.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.99 |