| 09/23/2015 |
| 06:22:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MEDINA, ALFONSO, | S8-SAC2510 | R | 121.50 | 4778********2570 | 43887V | 09/23/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 121.50 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 121.50 |