| 03/22/2017 |
| 07:07:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TORTOMASI, SAL, | ZQ-700331 | R | 64.99 | 4128********1760 | 21039C | 03/22/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 64.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 64.99 |