| 07/08/2015 |
| 09:16:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SANTOS, NOBUE, | BG-3653 | R | 29.00 | 4000********8681 | 316608 | 07/08/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |