| 12/14/2016 |
| 07:36:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VANDERGRIFF, JO, | PK-21871 | R | 26.95 | 4430********5501 | 756313 | 12/14/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 26.95 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 26.95 |