| 10/13/2021 |
| 07:27:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PADILLA, RANDY, UNDEFINED | 3B-1245 | R | 60.00 | 4032********0621 | 871286 | 10/13/2021 |
| WILSON, WILLIAM, UNDEFINED | 3B-1236 | R | 40.00 | 5571********2149 | 558295 | 10/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 40.00 |
| 1 | Visa | 60.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.00 |