| 05/05/2021 |
| 06:43:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PAQUIEL, QUEZIA, UNDEFINED | A1-100584 | R | 29.99 | 4117********3664 | 191993 | 05/05/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |