| 12/29/2016 |
| 10:29:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MENDES, LAURA, | FY-783456 | R | 34.98 | 4820********7412 | 003423 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.98 |