| 01/27/2016 |
| 06:42:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TILTON, BRIAN, | UF-101171 | R | 39.00 | 5465********5417 | 001310 | 01/27/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |