| 08/11/2021 |
| 07:43:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PATNUGOT, HENRY, UNDEFINED | BG-10891 | R | 35.00 | 5576********0796 | 051729 | 08/11/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 35.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |