| 06/13/2016 |
| 08:45:06 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACOBSON, ANTONIA | 8G-7417C13647 | 3 | 30.00 | 4833********0461 | 054309 | 06/13/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |