| 02/03/2016 |
| 08:44:33 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GREY, ELIZABETH, | M4-28880 | R | 29.99 | 4741********1926 | 867463 | 02/03/16 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 29.99 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |