| 11/28/2016 |
| 09:21:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VELAZQUEZ, LORENA | 07-764545 | 5 | 20.00 | 4833********3864 | 021310 | 11/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |