| 10/17/2016 |
| 10:52:31 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PEIL, JERRY | W8-5612 | 1 | 80.00 | 5466********6732 | 79982P | 10/17/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 80.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 80.00 |