| 11/27/2019 |
| 08:14:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LORUSSO, GLORIA, UNDEFINED | 2F-035 | R | 33.00 | 3792*******1003 | 130997 | 11/27/2019 |
| Count | Card Type | Total |
| 1 | American Express | 33.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.00 |