| 04/20/2016 |
| 10:39:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GROSSMAN, TAYLOR | FU-755148 | 4 | 120.00 | 4342********8701 | 480691 | 04/20/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 120.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 120.00 |