| 01/11/2017 |
| 07:15:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| Hernandez, Autu, | FP-814453 | R | 24.99 | 4695********1684 | 03264B | 01/11/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |