| 09/30/2015 |
| 08:13:00 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| SANDERS, DEVE, | UF-3282 | R | 49.00 | 4737********5915 | 919919 | 09/30/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 49.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 49.00 |