| 09/30/2015 |
| 08:15:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FLORES, DAVID, | S8-SAC2703 | R | 99.00 | 4815********3755 | 143408 | 09/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |