| 01/13/2016 |
| 08:59:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| CARDEN, SUSAN, | VR-FR001675 | R | 29.99 | 3739*******4003 | 115068 | 01/13/2016 |
| Count | Card Type | Total |
| 1 | American Express | 29.99 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 29.99 |