| 11/30/2016 |
| 07:18:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VELAZQUEZ, RACH, | 15-841331 | R | 115.98 | 4815********8283 | 120140 | 11/30/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 115.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 115.98 |