| 09/28/2016 |
| 07:34:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RODRIGUEZ, MARI, | SN-3994 | R | 39.99 | 4494********5195 | 492438 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |