| 09/14/2016 |
| 06:32:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POTTS, LARRY, | Q1-10063 | R | 67.40 | 4147********1077 | 09389D | 09/14/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 67.40 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 67.40 |