| 10/21/2015 |
| 08:39:13 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| KREIZENBECK, MI, | Z4-12656 | R | 35.00 | 4778********4645 | 831424 | 10/21/2015 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 35.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 35.00 |