| 05/12/2021 |
| 06:49:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DIAZ JR, GILBER, UNDEFINED | C4-600075 | R | 33.99 | 4494********1195 | 632476 | 05/12/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 33.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 33.99 |