| 08/17/2015 |
| 07:06:10 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| ILICH, DRAGAN | Y1-261 | A | 85.00 | 5424********7710 | 35125Y | 08/17/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 85.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 85.00 |