| 12/30/2015 |
| 06:54:57 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CHOI, GRACE, | L4-5563002689 | R | 39.99 | 5462********7572 | 006204 | 12/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |