| 12/26/2018 |
| 06:56:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARRILLO, MARK, | QN-225274 | R | 104.97 | 6011********3981 | 02628R | 12/26/2018 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 104.97 |
| 0 | Other | 0.00 |
| 104.97 |