| 01/27/2016 |
| 06:43:44 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ANDERSON, MARSH, | V4-108218 | R | 34.95 | 5121********6054 | 02792B | 01/27/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 34.95 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.95 |