| 09/28/2016 |
| 07:34:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMPSON, ANDREA, | DW-15664 | R | 217.17 | 4388********4449 | 06756D | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 217.17 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 217.17 |