| 07/07/2021 |
| 07:09:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CUELLAR, RICARD, UNDEFINED | H8-11929 | R | 45.00 | 5463********4780 | 360979 | 07/07/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 45.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |