| 08/26/2015 |
| 07:03:43 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMERIZ, EMERIT, | 84-17937 | R | 128.00 | 4342********1949 | 364927 | 08/26/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 128.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 128.00 |