| 03/11/2015 |
| 05:41:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MELGOZA, SAM, | ST-2100240 | R | 29.00 | 5403********6503 | 537138 | 03/11/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |