| 10/28/2015 |
| 05:34:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SANDOVAL, DEBRA, | PK-18306 | R | 64.85 | 5178********9132 | 09128Z | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 64.85 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.85 |