| 05/12/2021 |
| 06:49:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, EDMUNDO, UNDEFINED | EC-3G4M225312 | R | 53.22 | 4494********9881 | 865070 | 05/12/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 53.22 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 53.22 |