| 11/09/2016 |
| 06:55:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| REYES, JUANITA, | FG-14004 | R | 39.00 | 4815********7853 | 155713 | 11/09/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |