| 07/13/2016 |
| 07:17:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, JUAN, | G3-789007 | R | 53.99 | 5178********2131 | 03560Z | 07/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 53.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 53.99 |