| 04/27/2016 |
| 08:55:39 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DERN, WARREN, | EF-01874 | R | 44.99 | 3725*******7002 | 186444 | 04/27/2016 |
| Count | Card Type | Total |
| 1 | American Express | 44.99 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 44.99 |