| 12/08/2015 |
| 09:18:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUBIO, NICOLE | 07-728208 | 3 | 192.00 | 4128********1108 | 94528C | 12/08/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 192.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 192.00 |