| 11/14/2018 |
| 06:50:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JIMENEZ, FEDERI, | QN-134730 | R | 199.94 | 3783*******1006 | 100174 | 11/14/2018 |
| Count | Card Type | Total |
| 1 | American Express | 199.94 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 199.94 |