| 05/24/2017 |
| 06:28:20 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHAVARRIA, SAND, | Z4-29165 | R | 163.00 | 4494********4905 | 990400 | 05/24/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 163.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 163.00 |