| 01/18/2023 |
| 07:43:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ONTIVEROS, LUIS, UNDEFINED | EB-40934 | R | 169.00 | 5253********3314 | 58159Z | 01/18/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 169.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 169.00 |