| 11/27/2019 |
| 07:42:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CLARABAL, BO, | BW-81977 | R | 124.00 | 4373********5335 | 032055 | 11/27/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 124.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 124.00 |