| 12/07/2016 |
| 07:40:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACOBSON, TRIST, | 5M-FF36057 | R | 32.00 | 4157********4029 | 063453 | 12/07/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 32.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.00 |