| 12/01/2015 |
| 08:28:51 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ROSEN, DAWN | WZ-DR3701 | A | 150.00 | 3727*******4012 | 124094 | 12/01/15 |
| Count | Card Type | Total |
| 1 | American Express | 150.00 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 150.00 |