| 11/16/2016 |
| 06:47:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| AYALA, SALENA, UNDEFINED | ST-2102858 | R | 29.00 | 5178********3602 | 03217B | 11/16/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |