| 09/11/2019 |
| 06:57:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAESTAS, SAMUEL, | XC-X02490 | R | 28.07 | 4727********3121 | 091104 | 09/11/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 28.07 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.07 |