| 12/07/2016 |
| 07:41:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DANIELS, IRIS, | SC-214997 | R | 21.99 | 4430********7466 | 764025 | 12/07/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |