| 01/25/2017 |
| 10:37:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERNANDEZ, JORG, | T3-C6509 | R | 34.95 | 5118********8406 | 468670 | 01/25/17 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.95 |