| 01/12/2023 |
| 07:04:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FUENZALIDA, SAN, | A3-MFL-3963 | R | 75.78 | 5275********0028 | 132513 | 01/12/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 75.78 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.78 |