| 10/26/2016 |
| 06:57:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EVANS, RENEE, | LM-1657 | R | 458.98 | 4190********6142 | 024811 | 10/26/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 458.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 458.98 |