| 01/13/2016 |
| 08:59:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BROCKWAY, CASAN, | HD-7786 | R | 31.35 | 4427********8459 | 373535 | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 31.35 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.35 |