| 05/08/2019 |
| 06:52:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAVEZ, SAMUEL, | G3-M750113245 | R | 29.99 | 5409********6161 | 050846 | 05/08/2019 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |