| 09/23/2015 |
| 06:22:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DELA CRUZ, EVER, | CN-75547 | R | 35.00 | 4168********9647 | 906166 | 09/23/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |