| 12/28/2016 |
| 08:12:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TOVAR, AZALIA, UNDEFINED | J3-5574109324 | R | 50.00 | 4833********7917 | 095708 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |