| 10/20/2021 |
| 07:22:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RICO, NATALI, UNDEFINED | T0-214 | R | 120.91 | 4210********1052 | 912778 | 10/20/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 120.91 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.91 |