| 08/17/2016 |
| 07:20:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOORE, IMMANUEL, | LB-FF23345 | R | 29.00 | 4190********1621 | 005015 | 08/17/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.00 |