| 12/28/2015 |
| 09:44:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEREZ, RICHARD | FQ-686000 | 5 | 13.97 | 4347********8574 | 013410 | 12/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 13.97 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 13.97 |