| 10/14/2015 |
| 08:49:12 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| POBIAK, RYAN, | M4-29104 | R | 39.99 | 4820********0944 | 014219 | 10/14/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 39.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |