| 12/02/2021 |
| 07:52:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GONZALES, JACOB, UNDEFINED | 1F-10573 | R | 69.78 | 5156********4407 | 07457Z | 12/02/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.78 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.78 |