| 09/28/2016 |
| 07:34:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOULWARE, SHAWN, | 95-52297 | R | 37.88 | 5103********4042 | 183848 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 37.88 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 37.88 |