| 01/25/2017 |
| 10:35:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DSOUZA, SAVINA, | 13-661961 | R | 25.00 | 4194********2111 | 017940 | 01/25/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |