| 05/11/2016 |
| 07:52:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| STURM, KEN, | HC-9250 | R | 26.00 | 5155********4006 | 01710Z | 05/11/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 26.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.00 |