| 12/14/2016 |
| 07:37:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PULIDO, CHRISTI, UNDEFINED | H6-5573007248 | R | 54.00 | 4104********6182 | 635155 | 12/14/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |