| 12/30/2015 |
| 06:52:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SMITH, AMANDA, | UF-101479 | R | 74.00 | 5536********7760 | 005452 | 12/30/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 74.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 74.00 |