| 11/10/2021 |
| 06:25:29 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PORTILLO, SANDR, | A3-MFL-2629 | R | 32.48 | 4403********3454 | 335980 | 11/10/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 32.48 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.48 |