| 10/21/2015 |
| 08:51:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| NAULT, DAYRL, | HC-12890 | R | 31.34 | 5178********3939 | 01019Z | 10/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 31.34 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 31.34 |