| 10/11/2017 |
| 06:25:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PALMA, NADIA, | MG-115882 | R | 30.00 | 4426********6697 | 011174 | 10/11/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |