| 09/29/2021 |
| 07:08:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GONZALEZ, MATHE, UNDEFINED | QS-17377 | R | 138.00 | 4347********8301 | 040008 | 09/29/2021 |
| MENDEZ, JESUS, UNDEFINED | QS-17235 | R | 84.00 | 4342********2260 | 068363 | 09/29/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 222.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 222.00 |