| 09/16/2015 |
| 06:46:14 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZUBIA, CHRISTIN, | K7-61165 | R | 55.00 | 4128********0506 | 83010B | 09/16/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.00 |