| 01/06/2016 |
| 10:00:56 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LIPPERT, PEGGY, | K5-5561003210 | R | 114.00 | 5218********1467 | 00680Z | 01/06/2016 |
| VANGILDER, SAND, | K5-5561002794 | R | 49.00 | 4147********0813 | 05730C | 01/06/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 114.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 163.00 |