| 12/23/2015 |
| 07:53:32 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MUELLER, AUTUM, | LB-FF20818 | R | 49.00 | 4266********2735 | 07656B | 12/23/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |