| 01/29/2020 |
| 08:00:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEDINA, TITUS T, UNDEFINED | 9C-1051264 | R | 55.00 | 4342********9884 | 056659 | 01/29/2020 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |