| 11/11/2015 |
| 06:41:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERNANDEZ, LISA, | G9-5572008151 | R | 255.00 | 5466********7672 | 33056Z | 11/11/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 255.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 255.00 |