| 12/29/2016 |
| 10:30:03 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FAZENBAKER, MAG, | PR-116658 | R | 103.54 | 4586********8065 | H86070 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 103.54 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 103.54 |