| 09/30/2015 |
| 08:14:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAAK, ROBBI, | 53-032752 | R | 77.00 | 5465********6533 | H80697 | 09/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 77.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 77.00 |