| 11/18/2015 |
| 09:16:25 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEREZ, JESUS, | FY-039170 | R | 24.95 | 4342********7256 | 928007 | 11/18/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.95 |