| 01/14/2021 |
| 10:41:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZARATE, CARMEN, UNDEFINED | D9-15844A | R | 70.00 | 5576********2767 | 045603 | 01/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 70.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 70.00 |