| 01/20/2016 |
| 09:45:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MARTINEZ, NATALIE | 13-732110 | 4 | 43.99 | 4194********9812 | 027818 | 01/20/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 43.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 43.99 |