| 11/10/2021 |
| 06:57:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, LUCAS, UNDEFINED | H8-17140 | R | 25.00 | 6011********7489 | 0FBBCC | 11/10/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 25.00 |
| 0 | Other | 0.00 |
| 25.00 |