| 09/20/2017 |
| 09:45:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MIER, EZIQUIO, | FX-59816 | R | 77.99 | 4037********1295 | 600223 | 09/20/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 77.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 77.99 |