| 11/02/2017 |
| 10:02:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIOS, SANTIAGO, | 4U-877785 | R | 17.99 | 4000********3407 | 494499 | 11/02/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 17.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 17.99 |