| 09/30/2015 |
| 08:14:52 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PAIM, HALEY, | FA-697056 | R | 68.99 | 4636********4507 | 053237 | 09/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 68.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 68.99 |