| 11/16/2016 |
| 06:51:22 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WASHINGTON, GEO, | V2-5575000880 | R | 170.00 | 5107********6991 | 804923 | 11/16/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 170.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 170.00 |