| 12/09/2015 |
| 08:41:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CRUZ, LUCIA, | FV-448446 | R | 23.90 | 4465********5552 | 009661 | 12/09/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 23.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 23.90 |