| 10/21/2015 |
| 08:51:09 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ANTHONY, GEORGE, | LV-005848 | R | 39.90 | 5112********9627 | 519176 | 10/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.90 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.90 |