| 06/28/2017 |
| 06:51:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARRILLO, ITZEL, | Z4-33189 | R | 50.00 | 4494********1305 | 128073 | 06/28/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |