| 12/13/2023 |
| 06:29:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, PEDRO, UNDEFINED | T4-6267587211 | R | 74.99 | 4815********7271 | 162522 | 12/13/2023 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 74.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 74.99 |