| 11/17/2021 |
| 07:44:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORDAZ, GUILLERM, UNDEFINED | 3S-52994 | R | 58.71 | 5275********6407 | 104226 | 11/17/2021 |
| 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 |