| 12/07/2017 |
| 16:10:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| XX GALLEGOS, RA, | PR-116921 | R | 28.07 | 5172********0601 | 072166 | 11/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 28.07 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 28.07 |