| 10/18/2023 |
| 07:05:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTIZ, ROBERT, UNDEFINED | 1T-PD9773 | R | 98.16 | 3712*******8008 | 107320 | 10/18/2023 |
| Count | Card Type | Total |
| 1 | American Express | 98.16 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 98.16 |