| 07/22/2015 |
| 07:10:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SHAFIZ, SONIA, | 94-13-112 | R | 39.00 | 5129********3677 | 643786 | 07/22/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |