| 11/18/2015 |
| 09:17:50 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HELM, MICHEAL, | H8-10851 | R | 15.75 | 4643********4967 | 226726 | 11/18/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 15.75 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 15.75 |