| 12/29/2016 |
| 10:30:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WISEMAN, VICKI, | HQ-1756 | R | 45.00 | 5408********2429 | 08938Z | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 45.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |