| 12/29/2016 |
| 10:29:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOPIA, JUAN, | E0-40448 | R | 42.09 | 4474********2745 | 020635 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 42.09 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 42.09 |