| 11/28/2018 |
| 07:15:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DAVILA, HECTOR, | M4-DAVILAH | R | 15.00 | 4000********1687 | 879228 | 11/28/18 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.00 |