| 10/12/2016 |
| 06:47:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAVEZ, VIDAL, | C1-31409 | R | 24.99 | 4305********1351 | 007393 | 10/12/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |