| 12/28/2015 |
| 09:44:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MADISON 3RD, WAITE | SA-97176 | 4 | 256.00 | 5466********5481 | 02108Z | 12/28/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 256.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 256.00 |