| 12/01/2016 |
| 13:48:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| YBARRA, DIANA | FG-FG14913 | 5 | 43.00 | 5178********0510 | 082662 | 12/01/2016 |
| ZEVIN, DALE | FG-CF27368 | 5 | 19.00 | 4147********6565 | 02064C | 12/01/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 43.00 |
| 1 | Visa | 19.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 62.00 |