| 01/04/2017 |
| 09:20:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOCTEZUMA, JUAN, | US-152146 | R | 40.00 | 4190********0898 | 018226 | 01/04/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 40.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |