| 08/11/2021 |
| 07:43:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FLORES, JORGE, UNDEFINED | Z4-44807 | R | 128.00 | 4342********8905 | 070304 | 08/11/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 128.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 128.00 |