| 01/14/2021 |
| 10:41:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BERNAL, LUZ, UNDEFINED | Z4-44870 | R | 60.00 | 4815********9953 | 121827 | 01/13/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 60.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.00 |