| 10/28/2015 |
| 05:34:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SUAREZ, REYNA, | 49-11394 | R | 19.99 | 5424********1654 | 29032B | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |