| 11/25/2020 |
| 07:35:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, ELMER, UNDEFINED | T6-14156 | R | 120.00 | 4737********2267 | 093034 | 11/25/2020 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 120.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |