| 08/04/2016 |
| 08:24:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CRINER, D.J., | 93-12518846 | R | 25.00 | 4815********3983 | 151199 | 08/04/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |