| 01/14/2021 |
| 10:40:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OCHOA, MANUEL, UNDEFINED | 07-M7Z1143423 | R | 27.99 | 5178********7517 | 09411B | 01/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 27.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.99 |