| 08/26/2015 |
| 07:06:01 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| LEWIS, SHARON, | SD-116802 | R | 99.00 | 5113********3459 | 002076 | 08/26/15 |
| 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 |