| 12/13/2017 |
| 07:13:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DIAZ, JOSE, | FB-1076288 | R | 68.99 | 4373********2562 | 932746 | 12/13/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 68.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.99 |