| 12/01/2015 |
| 14:08:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROSSO 25TH, NIKKI | TW-TW02249 | 5 | 30.00 | 4254********2025 | 103176 | 12/01/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |