| 10/28/2015 |
| 05:34:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOWMAN, ERLAN, | LB-FF20516 | R | 29.00 | 4342********0977 | 649094 | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |