| 09/28/2016 |
| 07:34:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MCCUIN, CODY, | TA-564508 | R | 27.99 | 4366********6439 | 017997 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 27.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.99 |