| 08/27/2015 |
| 10:27:23 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CROWDER, EDWARD | W5-615392 | 5 | 200.00 | 3717*******2005 | 101769 | 08/27/15 |
| Count | Card Type | Total |
| 1 | American Express | 200.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 200.00 |