| 12/30/2015 |
| 06:52:37 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| RIFE, ALICE, | SG-307093 | R | 76.27 | 6011********7347 | 03099R | 12/30/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 1 | Discover | 76.27 |
| 0 | Other | 0.00 |
| 76.27 |