| 11/25/2015 |
| 07:18:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| PELTIER, ROSEAN, | QU-301276 | R | 39.99 | 5594********7509 | 214548 | 11/25/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.99 |