| 01/20/2016 |
| 09:36:38 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| WALTERS, ADAM, | 80-12504 | R | 19.99 | 5129********4278 | 418541 | 01/20/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 19.99 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 19.99 |