| 08/17/2016 |
| 07:21:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BURLESON, DON, | AC-1003599 | R | 27.05 | 4492********4024 | 040433 | 08/17/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 27.05 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.05 |