| 12/19/2018 |
| 06:44:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOPEZ, MANUEL, UNDEFINED | 4E-102075 | R | 13.00 | 4342********5874 | 058330 | 12/19/2018 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 13.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 13.00 |