| 10/27/2021 |
| 07:46:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERREIRA, NIVIA, UNDEFINED | 80-23747 | R | 25.00 | 4117********2405 | 163239 | 10/27/2021 |
| SANTOS, ALAN, UNDEFINED | 80-21599 | R | 25.00 | 5129********4970 | 839959 | 10/27/2021 |
| 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 |