| 11/08/2023 |
| 07:11:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORTIZ,JR, GILBE, UNDEFINED | C1-39613 | R | 25.00 | 4791********1604 | 111443 | 11/08/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |