| 12/30/2015 |
| 06:52:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LAVAYEN, JOHN, | QN-147030 | R | 30.00 | 4159********1676 | 074937 | 12/30/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 30.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 30.00 |