| 02/24/2016 |
| 09:40:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANGENDERFER, T, | LV-005346 | R | 49.90 | 4121********5250 | 024391 | 02/24/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.90 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.90 |