| 10/28/2015 |
| 05:34:26 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| USELMAN, CHRIS, | M4-28968 | R | 24.99 | 4862********2071 | 07772C | 10/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 24.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 24.99 |