| 12/30/2015 |
| 06:55:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RUIZ, FABIOLA, | CN-75667 | R | 99.00 | 4631********9477 | 617784 | 12/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |