| 12/23/2015 |
| 07:56:34 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SUIKOWSKY, JARE, | H9-621181 | R | 59.98 | 4778********3236 | 164816 | 12/23/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 59.98 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 59.98 |