| 12/17/2014 |
| 09:10:42 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| HERMANSON, LISA, | A1-802950 | R | 22.95 | 3717*******1013 | 167453 | 12/17/2014 |
| Count | Card Type | Total |
| 1 | American Express | 22.95 |
| 0 | MasterCard | 0.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 22.95 |