| 12/13/2023 |
| 06:29:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMALHO, LYCIA, UNDEFINED | M2-104003 | R | 137.00 | 4815********6633 | 121452 | 12/13/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 137.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 137.00 |