| 10/05/2016 |
| 07:44:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HINOJOS, RAUL,, | FX-59463 | R | 50.17 | 5275********5904 | 110768 | 10/05/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 50.17 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.17 |