| 09/23/2015 |
| 06:06:54 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MAYFIELD, MALCO, | UF-100195 | R | 34.00 | 4011********6151 | 070241 | 09/23/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 34.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 34.00 |