| 01/20/2016 |
| 09:45:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPES, GINA | FQ-707890 | 4 | 9.99 | 5155********2177 | 02972Z | 01/20/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 9.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 9.99 |