| 11/13/2019 |
| 07:42:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CENTENO, MARIAH, | EF-12139 | R | 29.00 | 4342********9627 | 096523 | 11/13/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |