| 05/19/2016 |
| 09:57:16 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOMAR, HANK | 8J-497076 | 4 | 40.00 | 4147********3693 | 019237 | 05/19/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 40.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 40.00 |