| 10/28/2015 |
| 05:34:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAESTAS, ANNA, | PR-115343 | R | 70.11 | 5109********4840 | H59373 | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 70.11 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 70.11 |