| 09/28/2016 |
| 07:34:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SIMPSON, ANTHON, | UF-104376 | R | 54.00 | 4124********4465 | 072708 | 09/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 54.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 54.00 |