| 09/24/2025 |
| 07:01:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRASIELE, RENAL, UNDEFINED | MY-4321108075 | R | 77.40 | 4256********0028 | 173550 | 09/24/2025 |
| TERILUS, AMO, UNDEFINED | MY-4321107970 | R | 37.88 | 6011********6228 | 02415R | 09/24/2025 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 77.40 |
| 1 | Discover | 37.88 |
| 0 | Other | 0.00 |
| 115.28 |