| 09/25/2019 |
| 06:53:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MORA, DULCE, | PR-115531 | R | 114.24 | 4504********2255 | 357306 | 09/25/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 114.24 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 114.24 |