| 09/28/2016 |
| 07:33:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MADRUGA, KATHER, UNDEFINED | K5-21002991 | R | 114.99 | 4833********3571 | 022808 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 114.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 114.99 |