| 10/21/2015 |
| 08:50:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| IANCA, RIVERA, | CW-22000383 | R | 61.99 | 4342********5894 | 811976 | 10/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 61.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 61.99 |