| 10/26/2016 |
| 06:58:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RAMIREZ, DEISY, | ST-2104569 | R | 29.00 | 4815********7308 | 193865 | 10/26/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |