| 05/11/2016 |
| 07:52:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ORR, JACOB, | FA-696038 | R | 34.99 | 4636********1320 | 054509 | 05/11/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.99 |