| 07/13/2016 |
| 07:17:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DERDEN, CORVETT, | HA-7103 | R | 21.44 | 4185********1517 | 487792 | 07/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 21.44 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 21.44 |