| 08/30/2017 |
| 07:20:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, GLADIZ, | FB-904401 | R | 63.99 | 4736********8631 | 090708 | 08/30/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 63.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 63.99 |