| 11/09/2016 |
| 06:55:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FERREIRA, CLEIS, | A1-703568 | R | 28.99 | 4427********5196 | 326080 | 11/09/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 28.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.99 |