| 11/18/2015 |
| 09:16:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LYSANL, KIM, | G3-729340 | R | 25.00 | 4984********5742 | 051364 | 11/18/15 |
| VIVEROS, ADRIAN, | G3-471914 | R | 19.99 | 3743*******7844 | 243018 | 11/18/15 |
| Count | Card Type | Total |
| 1 | American Express | 19.99 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.99 |