| 12/29/2016 |
| 10:30:05 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NEWELL, BAILEY, | SR-9542 | R | 20.00 | 5455********9132 | 016964 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 20.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |