| 02/16/2017 |
| 08:27:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BORGES, ABRAO, | 80-14132 | R | 19.99 | 4117********4394 | 105375 | 02/16/17 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |