| 01/21/2015 |
| 08:37:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REYES, TERESA, | FY-525690 | R | 63.90 | 4342********2269 | 941240 | 01/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 63.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 63.90 |