| 11/29/2017 |
| 06:50:53 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTERO, JORGE, | 98-919771 | R | 19.99 | 5499********4340 | 09163B | 11/29/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |