| 12/30/2015 |
| 06:52:36 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FITZPATRICK, CH, | LB-FF23365 | R | 58.00 | 5465********5216 | H70792 | 12/30/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 58.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 58.00 |