| 09/23/2015 |
| 06:22:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PADILLO, MARIA, | E1-40032 | R | 111.30 | 4342********2065 | 671176 | 09/23/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 111.30 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 111.30 |