| 04/20/2016 |
| 06:39:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LACEY, JOEY, | UF-101214 | R | 34.00 | 5445********4002 | 096666 | 04/20/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |