| 02/11/2015 |
| 06:19:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOS SANTOS, VAN, | ZQ-428165 | R | 22.95 | 4117********5974 | 131950 | 02/11/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 22.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 22.95 |