| 07/13/2016 |
| 07:17:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CLARK, TENOLA, | BE-4309 | R | 21.64 | 4264********5837 | 03576B | 07/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.64 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.64 |