| 08/10/2016 |
| 07:33:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SAMAYOA, JOSUE, | FU-663380 | R | 68.99 | 6011********7550 | 01089R | 08/10/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 68.99 |
| 0 | Other | 0.00 |
| 68.99 |