| 10/21/2020 |
| 07:06:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMOS, JOSE, UNDEFINED | BG-14611 | R | 29.00 | 5178********8861 | 08033Z | 10/21/2020 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |