| 11/28/2018 |
| 07:15:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIVERA, MARIA, | Z6-864652 | R | 19.00 | 5178********4926 | 067245 | 11/28/2018 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |