| 12/05/2018 |
| 06:38:18 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROMERO, ANGEL M, | QN-227435 | R | 34.99 | 3790*******1007 | 104004 | 12/05/2018 |
| Count | Card Type | Total |
| 1 | American Express | 34.99 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |