| 02/17/2016 |
| 08:16:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HENRY, KIMBER, | 36-2497 | R | 35.00 | 4160********9421 | 071904 | 02/17/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |