| 08/26/2015 |
| 07:06:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROJAS, VIRIDIAN, | ST-2104113 | R | 58.00 | 4009********9272 | 050112 | 08/26/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 58.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 58.00 |