| 01/13/2016 |
| 08:59:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GREEN, MARY, | BD-21216 | R | 61.00 | 4271********9165 | 702146 | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 61.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 61.00 |