| 12/29/2016 |
| 10:29:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMEZ, MARIA CO, | 84-18117 | R | 100.00 | 4342********1342 | 739115 | 12/28/2016 |
| VILLALPANDO, KA, | 84-24970 | R | 55.00 | 5510********5654 | 799596 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 55.00 |
| 1 | Visa | 100.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 155.00 |