| 04/19/2023 |
| 07:16:46 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NIEVES, JORGE, UNDEFINED | 84-50563 | R | 126.92 | 4000********8776 | 769947 | 04/19/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 126.92 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 126.92 |