| 09/21/2016 |
| 07:21:30 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GLOVER, CHAD, | KX-10748 | R | 19.00 | 5293********4319 | 056254 | 09/21/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.00 |