| 12/21/2016 |
| 07:33:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BOCKMANN, DONAL, | FU-788779 | R | 17.99 | 4250********7461 | 051758 | 12/21/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 17.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 17.99 |