| 08/26/2015 |
| 07:05:40 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BRUMMEL, NICHOL, | FQ-670877 | R | 29.99 | 5178********8937 | 02262Z | 08/26/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 29.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |