| 09/02/2021 |
| 06:20:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERNANDEZ, JOVA, | FX-62693 | R | 115.24 | 5275********4762 | 121761 | 09/02/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 115.24 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 115.24 |