| 12/30/2015 |
| 06:55:17 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| YOUNG, JOHN, | F0-11513891 | R | 21.00 | 5360********2595 | 064643 | 12/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.00 |