| 12/29/2021 |
| 08:14:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARTINEZ, LYCHU, UNDEFINED | 2T-100894 | R | 44.00 | 4601********1738 | 073733 | 12/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 44.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.00 |