| 08/25/2021 |
| 07:09:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HIDALGO, STEVEN, UNDEFINED | 5A-8055120761 | R | 250.00 | 4833********9827 | 034307 | 08/25/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 250.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 250.00 |