| 01/11/2017 |
| 07:16:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMEZ, ELVA, | SC-219600 | R | 31.99 | 4266********3139 | 06217A | 01/11/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.99 |