| 01/14/2021 |
| 10:41:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SILVA CONCEICAO, UNDEFINED | A1-719239 | R | 62.99 | 4117********4933 | 175546 | 01/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 62.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 62.99 |