| 09/02/2021 |
| 07:04:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ WALKER, I, UNDEFINED | 38-22107 | R | 82.00 | 5128********8761 | 456070 | 09/02/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 82.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 82.00 |