| 10/17/2018 |
| 06:41:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SALDIVAR, LEONE, | T2-010412 | R | 163.49 | 4000********9284 | 629184 | 10/17/2018 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 163.49 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 163.49 |