| 10/16/2014 |
| 10:04:41 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| GORELL, TODD, | 53-029751 | R | 39.00 | 5178********7186 | 07623Z | 10/16/14 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 39.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 39.00 |