| 08/19/2015 |
| 07:24:47 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LANGLOSS, DUANE, | F0-1557 | R | 32.00 | 5178********3926 | 06799B | 08/19/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 32.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 32.00 |