| 06/30/2021 |
| 07:06:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DASILVA, ASILEN, UNDEFINED | 80-22592 | R | 25.00 | 5129********6978 | 755786 | 06/30/2021 |
| SILVA, LORENA, UNDEFINED | 80-22938 | R | 25.00 | 4117********0007 | 154227 | 06/30/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |