| 12/29/2016 |
| 10:29:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ACEVES, MARCO, | E2-561103 | R | 86.99 | 4315********5133 | 607630 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 86.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 86.99 |