| 10/14/2020 |
| 07:16:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ESCURRA, HEIDI, UNDEFINED | EF-12610 | R | 30.00 | 3728*******4000 | 108045 | 10/14/2020 |
| Count | Card Type | Total |
| 1 | American Express | 30.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |