| 10/21/2015 |
| 08:50:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VELAZQUEZ, GRAC, | AC-1001970 | R | 32.46 | 4427********6182 | 242237 | 10/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 32.46 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.46 |