| 03/29/2017 |
| 07:08:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JACKSON, HENRY, | KX-10995 | R | 25.00 | 4159********4992 | 066870 | 03/29/17 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.00 |