| 11/01/2017 |
| 12:10:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOLEDO, EDWARD | 6C-UR34130801 | 1 | 84.00 | 4342********9981 | 095541 | 11/01/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |