| 09/25/2019 |
| 06:53:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, OSWALDO, | 6C-GV5Y195210 | R | 109.99 | 4494********1491 | 480446 | 09/25/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 109.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 109.99 |