| 09/28/2016 |
| 07:34:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GRIFFIN, ZACHAR, | FX-52033 | R | 55.10 | 4142********6397 | 076970 | 09/28/2016 |
| PEREZ, MAURICIO, | FX-59456 | R | 50.17 | 4342********7593 | 649113 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 2 | Visa | 105.27 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 105.27 |