| 12/16/2015 |
| 08:49:48 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PINEDA, EMILIO, | Z4-15069 | R | 44.00 | 5178********4007 | 05095Z | 12/16/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 44.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.00 |