| 01/13/2016 |
| 08:59:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEREZ, LEO, | FV-650013 | R | 14.99 | 4342********9827 | 459539 | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 14.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 14.99 |