| 10/06/2021 |
| 07:07:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COVARRUBIAS, JA, UNDEFINED | EF-12438 | R | 50.00 | 4342********9695 | 019428 | 10/06/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |