| 08/25/2021 |
| 07:09:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PINA, VICTORIA, UNDEFINED | Z4-80489 | R | 64.00 | 4403********7632 | 675624 | 08/25/2021 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 64.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.00 |