| 11/11/2015 |
| 06:41:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTANO, JOSE, | E2-548677 | R | 54.99 | 4736********0483 | 031215 | 11/11/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.99 |