| 09/08/2021 |
| 07:08:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROSALES, JORDAN, UNDEFINED | 04-300410 | R | 31.39 | 4342********4976 | 002013 | 09/08/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.39 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.39 |