| 10/09/2019 |
| 06:55:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERNANDER-PERZA, | BX-1120 | R | 22.00 | 4661********8793 | 004014 | 10/09/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 22.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 22.00 |