| 07/29/2015 |
| 06:18:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GONZALEZ, RAFAE, | QN-122149 | R | 34.99 | 4029********1784 | 061443 | 07/29/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |