| 09/30/2015 |
| 08:15:28 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| COLLETT, BRADLE, | SR-6923 | R | 27.50 | 5109********1921 | H75866 | 09/30/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 27.50 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 27.50 |