| 12/06/2017 |
| 07:39:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COSTA, LAURA, | FC-16748 | R | 55.76 | 4482********2963 | 072722 | 12/06/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 55.76 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 55.76 |