| 11/02/2017 |
| 10:02:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| QUINTANA, SHON, | 9R-1075557 | R | 29.99 | 4943********4431 | 979285 | 11/02/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |