| 10/23/2019 |
| 06:56:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, SIERRA, | 9H-CM0R204711 | R | 6.00 | 4511********0974 | 665708 | 10/23/2019 |
| RAMIREZ, PATRIC, | 9H-786460 | R | 110.00 | 3797*******3008 | 131366 | 10/23/2019 |
| Count | Card Type | Total |
| 1 | American Express | 110.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 6.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 116.00 |