| 06/15/2016 |
| 11:34:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEEFLANG, ALIE, UNDEFINED | J3-5574101514 | R | 25.00 | 3767*******3016 | 139350 | 06/15/2016 |
| Count | Card Type | Total |
| 1 | American Express | 25.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |