| 04/20/2016 |
| 10:39:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VANNA, PHAKTRA | FP-629037 | 4 | 21.99 | 4342********3440 | 804300 | 04/20/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.99 |