| 02/02/2017 |
| 07:33:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LOZA, RAUL, | A3-MFL-833 | R | 21.65 | 4294********6607 | 689474 | 02/02/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.65 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.65 |