| 05/27/2016 |
| 09:25:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VARGAS, DENISE | FV-526866 | 5 | 19.99 | 5460********7642 | 064113 | 05/27/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |