| 01/19/2022 |
| 07:08:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PORTILLO, ALFON, | FX-1406 | R | 38.97 | 4307********9771 | 016164 | 01/19/2022 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 38.97 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 38.97 |