| 11/21/2016 |
| 09:22:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VAZQUEZ, MARCO | 92-649456 | 4 | 25.00 | 4815********2763 | 112401 | 11/21/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |