| 09/28/2016 |
| 07:34:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WILLIAMS, TAJAU, | XC-X01584 | R | 25.99 | 3751*******5306 | 692004 | 09/28/2016 |
| Count | Card Type | Total |
| 1 | American Express | 25.99 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.99 |