| 02/22/2017 |
| 06:50:19 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COFFMAN, NEIL, UNDEFINED | Q1-25913 | R | 10.00 | 5219********4761 | 592011 | 02/22/2017 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 10.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 10.00 |