| 09/16/2015 |
| 06:37:04 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LACOURSE, NICHO, | A1-809495 | R | 25.99 | 4682********6613 | 467653 | 09/16/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 25.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 25.99 |