| 01/14/2021 |
| 10:40:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, FIDEL, UNDEFINED | 1R-1150466 | R | 19.99 | 4342********3664 | 097893 | 01/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |