| 08/12/2015 |
| 08:56:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FRIAS, JOSE, | C5-C03675 | R | 21.64 | 5539********7868 | 099603 | 08/12/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.64 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.64 |