| 03/18/2015 |
| 06:31:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, CHRISTOP, | 8J-397457086 | R | 104.00 | 3715*******3012 | 117537 | 03/18/15 |
| Count | Card Type | Total |
| 1 | American Express | 104.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 104.00 |