| 12/15/2015 |
| 10:40:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENJIVAR, YOLLEE | AG-5565106234 | 6 | 35.00 | 4815********4794 | 102073 | 12/15/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |