| 01/20/2016 |
| 09:36:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GOFF, DYLEN, | CK-5028333612 | R | 25.00 | 5515********8499 | 990919 | 01/20/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |