| 12/02/2015 |
| 08:38:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERREIRA, AGENO, | W5-695129 | R | 24.99 | 4815********9353 | 122519 | 12/02/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |