| 12/09/2015 |
| 08:41:58 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| FOWLER, GRACIEL, | FI-735312 | R | 24.99 | 5403********6809 | 125652 | 12/09/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 24.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |