| 05/18/2016 |
| 09:39:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SCOTT, JORDAN, | AC-1003516 | R | 21.64 | 5128********6897 | 786597 | 05/18/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 21.64 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.64 |