| 02/17/2016 |
| 08:16:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FORREST, TYLER, | FQ-756457 | R | 71.25 | 4037********2994 | 707102 | 02/17/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 71.25 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 71.25 |