| 09/16/2015 |
| 06:46:15 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| DUSAJ, KATRINA, | LV-005664 | R | 69.80 | 5443********3219 | 099990 | 09/16/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 69.80 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 69.80 |