| 02/16/2017 |
| 08:26:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACOBY, JUSTIN, | A1-703791 | R | 25.99 | 5129********8604 | 912468 | 02/16/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 25.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.99 |