| 01/17/2018 |
| 07:25:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DOS SANTOS, LAR, UNDEFINED | 80-18684 | R | 25.00 | 4361********9775 | 390161 | 01/17/2018 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |