| 07/13/2016 |
| 07:17:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERBSTER, NICOL, | BX-49-0565 | R | 15.00 | 4020********1610 | 391180 | 07/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.00 |