| 01/20/2021 |
| 09:31:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MACIAS, EDWIN | 9R-581302997 | 4 | 19.00 | 5403********6182 | 092804 | 01/20/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |