| 12/09/2015 |
| 08:41:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOONE, JOHN, | GA-20390 | R | 10.77 | 5491********1733 | 00988B | 12/09/15 |
| DANIELS, MD, | GA-30792 | R | 31.39 | 4631********8840 | 521647 | 12/09/15 |
| WOLFGRAMM, CLAU, | GA-17515 | R | 85.52 | 5153********4438 | 561685 | 12/09/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 2 | MasterCard | 96.29 |
| 1 | Visa | 31.39 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 127.68 |