| 09/28/2016 |
| 07:34:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANGER, MATTHEW, | GF-11423 | R | 67.13 | 5178********4796 | 09182B | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 67.13 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 67.13 |