| 01/13/2016 |
| 08:59:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BENITES, LISA, | FZ-451484 | R | 99.95 | 4767********4101 | 093201 | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 99.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.95 |