| 07/08/2015 |
| 09:16:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MADRIZ, AMBER, | W5-614926 | R | 24.99 | 5424********0522 | 65716P | 07/08/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 24.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |