| 07/22/2015 |
| 07:10:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COLLAZO, EDGAR, | 37-669134 | R | 28.99 | 4815********4868 | 145677 | 07/22/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 28.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.99 |