| 05/27/2015 |
| 08:46:02 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VALINE, CHELSIE, | Z4-15569 | R | 50.00 | 4121********6416 | 00195B | 05/27/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 50.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 50.00 |