| 06/08/2016 |
| 15:23:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| OLIVEROS, SUSIE, | 92-22811053 | R | 16.00 | 4778********5983 | 728407 | 06/08/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 16.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 16.00 |