| 01/13/2016 |
| 08:59:24 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BLUNK, SELMA, | L4-3813800 | R | 84.00 | 4366********4761 | 016435 | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.00 |