| 07/28/2021 |
| 06:54:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMIREZ, ROGELI, UNDEFINED | BK-047991 | R | 69.13 | 5172********5479 | 034656 | 07/28/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.13 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.13 |