| 01/20/2021 |
| 07:04:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMEZ, ANA, UNDEFINED | TX-WEB629950 | R | 36.81 | 5275********5623 | 125725 | 01/20/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 36.81 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 36.81 |