| 12/29/2016 |
| 10:30:07 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MONTERO, FRANCI, | VC-7124 | R | 35.00 | 4154********7868 | 728583 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |