| 10/20/2021 |
| 06:43:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMIREZ, SERGIO, | FX-1217 | R | 38.97 | 4000********1852 | 822622 | 10/20/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 38.97 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.97 |