| 10/28/2015 |
| 05:34:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAVEZ, OMAR, | C5-C05406 | R | 27.06 | 4342********4558 | 719097 | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 27.06 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.06 |