| 09/28/2016 |
| 07:34:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STAMOS, KELSEE, | E7-741080 | R | 19.99 | 4342********6210 | 017886 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 19.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |