| 10/12/2016 |
| 06:38:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERNANDEZ, WILB, | H8-MMA185 | R | 60.00 | 4727********5471 | 127707 | 10/12/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 60.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 60.00 |