| 03/16/2017 |
| 09:05:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LARIOS, MADELIN, | G3-788535 | R | 17.99 | 4511********8515 | 095683 | 03/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 17.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 17.99 |