| 12/09/2015 |
| 08:44:35 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| EVANS, LISA, | MR-5564002155 | R | 99.00 | 5403********9667 | 083602 | 12/09/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 99.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 99.00 |