| 01/20/2016 |
| 08:45:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROSS, SUSAN, | D9-12538A | R | 79.00 | 4291********4531 | 083906 | 01/20/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 79.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 79.00 |