| 11/17/2021 |
| 07:44:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUIZ, DOMINIQUE, UNDEFINED | BD-23598 | R | 26.00 | 4482********1786 | 064905 | 11/17/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 26.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.00 |