| 12/09/2020 |
| 07:27:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUBIO, JESUS, UNDEFINED | K4-62913 | R | 41.03 | 5122********9861 | 36380Z | 12/09/2020 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 41.03 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 41.03 |