| 04/28/2021 |
| 07:18:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FARIAS, SOFIA, UNDEFINED | AC-1021249 | R | 108.30 | 4479********8019 | 028103 | 04/28/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 108.30 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 108.30 |