| 12/28/2016 |
| 08:12:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ZEGALIA, KATHY, UNDEFINED | L4-5563001682 | R | 54.99 | 4342********0907 | 630448 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.99 |