| 09/09/2015 |
| 12:43:11 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| JEFFERSON, YTAN, | SR-9203 | R | 45.00 | 5154********6992 | MGCLFW | 09/09/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 45.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 45.00 |