| 12/16/2015 |
| 08:57:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEWIS, DANIEL, | 37-632930 | R | 29.99 | 4366********1461 | 025748 | 12/16/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |