| 11/16/2016 |
| 06:47:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZAPATA, DANIELA, UNDEFINED | 49-12369 | R | 19.99 | 4661********6745 | 022865 | 11/16/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |