| 09/21/2015 |
| 09:51:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| MOORE, JASON | XT-10305 | 2 | 20.00 | 4737********5574 | 523754 | 09/21/15 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 20.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 20.00 |