| 05/20/2015 |
| 07:05:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| URBINA, THOMAS, | HB-7932 | R | 31.44 | 4430********2148 | 973180 | 05/20/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.44 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.44 |