| 05/18/2016 |
| 09:39:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIVERA, JUAN, | QU-D03768 | R | 89.99 | 5178********6547 | 07387B | 05/18/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 89.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 89.99 |