| 01/27/2016 |
| 15:59:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| Lourenco, SANDIE | FQ-589160 | 5 | 55.99 | 4342********5868 | 390785 | 01/27/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.99 |