| 08/29/2018 |
| 06:54:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BALTAZAR, RODOL, | D9-15143A | R | 69.00 | 5403********7036 | 993577 | 08/29/2018 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.00 |