| 12/29/2016 |
| 10:30:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SILVA, WALTER, | YF-10383 | R | 312.00 | 4427********3523 | 257763 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 312.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 312.00 |