| 11/02/2016 |
| 07:12:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ESPINOSA, LISA, | GV-1814 | R | 187.89 | 4204********3579 | 363796 | 11/02/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 187.89 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 187.89 |