| 10/28/2015 |
| 05:34:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MORALEZ, FRANCI, | J3-5574103181 | R | 78.99 | 3772*******1003 | 181804 | 10/28/15 |
| Count | Card Type | Total |
| 1 | American Express | 78.99 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 78.99 |