| 07/20/2022 |
| 08:11:49 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTIZ, CLAUDIA, UNDEFINED | 1F-10594 | R | 121.64 | 4112********2165 | 664298 | 07/20/2022 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 121.64 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 121.64 |