| 10/26/2016 |
| 06:57:59 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARLSON, ZAK, | LS-106476 | R | 37.03 | 4060********9393 | 014707 | 10/26/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 37.03 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 37.03 |