| 01/27/2016 |
| 06:42:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOZANO, YAZMIN, | GV-1497 | R | 75.62 | 4000********4335 | 870603 | 01/27/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 75.62 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 75.62 |