| 09/01/2021 |
| 06:48:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOMINGUEZ, ESTRELLA | FO-1250 | 3 | 12.97 | 4342********5593 | 048262 | 08/31/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 12.97 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 12.97 |