| 11/16/2017 |
| 10:58:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LERMA, GRACIELA, UNDEFINED | H1-H10253 | R | 100.98 | 4411********3433 | 075311 | 11/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 100.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 100.98 |