| 12/29/2016 |
| 10:30:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EDWARDS, LYLE, | PE-349 | R | 59.54 | 4802********8135 | 094569 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.54 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.54 |