| 10/01/2015 |
| 14:48:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MISQUEZ, TANI | ZD-524998 | 1 | 19.99 | 5403********6034 | 141133 | 10/01/15 |
| PLEASANT HILL, FARMERS INS | ZD-FARMERSINS | 1 | 105.00 | 5589********3546 | 03995Z | 10/01/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 124.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 124.99 |