| 01/13/2016 |
| 08:59:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WILLIAMS, KIM, | J3-5574103177 | R | 54.00 | 4778********1236 | 862850 | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |