| 12/02/2021 |
| 07:52:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, BALDEMAR, UNDEFINED | Y2-6103 | R | 46.21 | 5178********2801 | 03061B | 12/02/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 46.21 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 46.21 |