| 10/07/2015 |
| 08:57:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROJAS, VIRIDIAN, | ST-2104113 | R | 29.00 | 4009********9272 | 064027 | 10/07/15 |
| SESMA, SEANA-MA, | ST-2103613 | R | 29.00 | 5103********6883 | 002366 | 10/07/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 58.00 |