| 09/20/2017 |
| 09:45:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GUTIERREZ, ANA, | FC-16628 | R | 93.00 | 5147********3701 | 191109 | 09/20/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 93.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 93.00 |