| 12/21/2016 |
| 07:17:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EVANS, PAMELA, | K4-07739 | R | 88.40 | 4104********1363 | 616010 | 12/21/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 88.40 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 88.40 |