| 12/24/2014 |
| 06:13:27 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| VAN GELDER, ELI, | 94-14-088 | R | 39.00 | 5452********8990 | 05187Z | 12/24/14 |
| 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 |