| 04/15/2016 |
| 07:11:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PASSINO, TONY | NH-5096 | 2 | 17.00 | 4430********1896 | 565050 | 04/15/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 17.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 17.00 |