| 12/29/2016 |
| 10:30:08 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BECKMAN, DANIEL, | XC-X01542 | R | 84.12 | 4499********7952 | 368210 | 12/28/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 84.12 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 84.12 |