| 01/27/2016 |
| 06:42:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WELLS, JEFF, | C4-503852 | R | 31.94 | 4211********9926 | 03741B | 01/27/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.94 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.94 |