| 10/27/2021 |
| 07:46:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUEDA, JORGE, UNDEFINED | 3S-47024 | R | 58.71 | 5275********1328 | 103605 | 10/27/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 58.71 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 58.71 |